Insured’s Checklist:
Insured First and Last Name: Jane Doe
Date: _________________________
Before Packout:
[Insert Company] staff informed me about the process.
[Insert Company] staff informed me to remove high-value, dangerous, and illegal contents such as cash, jewelry, medication, credit cards, passport, firearms and illicit drugs.
I informed [Insert Company] staff about sentimental and contents I need rushed.
I will not hold [Insert Company] responsible for the disposing of non-salvageable contents not outlined in the sentimental form.
I informed [Insert Company] staff about damaged items during packout, and they removed/assessed everything as requested.
Special instructions on dry cleaning/laundry: If there are allergy reactions to any laundry detergent, please specify the detergent make and model you use _________________________
Regarding pre-packed contents, I confirm there are no dangerous goods, weapons, flammable or poisonous goods. [Insert Company] is not liable for items I packaged and that I waived the offer to repackage them.
I, the undersigned policyholder, confirm that all the contents belong to me and are part of the claim. I have not included any contents belonging to the landlord or tenants.
I authorize [Insert Company] to list and document the contents and provide me online access to view them.
Before Pack-back:
[Insert Company] staff informed me that no warranty is covered for claim-related issues if I decline setup.
I am fully aware that [Insert Company] is not responsible for any damaged or missing contents if setup is declined by me.
After Pack-out or Pack-back:
Satisfied with the quality of the contents restoration?
How was your initial experience?
How well [Insert Company] staff conducted themselves during pack-out or pack-back. Is anyone in particular?
Would you recommend our services to others?
How do we compare to other professionals involved in your claim?
Satisfied with the customer service provided by the office staff?
Have you reviewed the contents using iCat Homeowner Portal? How was your experience?
No damage was made to the property by Your Company staff or any of their subtrades.
Any Other Comments:
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Road Lead’s Full Name & Signature
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Insured’s Full Name & Signature
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