Dependable Relocation Services, Inc. – INTRASTATE CLAIM FORM

Corporate Headquarters
450 Airline Drive, Suite 100, Coppell, TX 75019
888-461-3737
TxDMV #006779291C




  • Inventory NumberArticle WeightArticle DescriptionDescription of loss/damageDate of purchase/Age of itemCost to replaceAmount ClaimedCarton Damaged (Y/N) 
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  • TxDMV regulations require that any claim be submitted in writing and received by carrier within 90 days from delivery of the shipment to the final destination or after a reasonable time for delivery has elapsed in the case of failure to make delivery.
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