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Insured Information
Insured Name: ___________________________________
Date: ___________________________________
Before Pack-Out
Communication & Expectations
I confirm that [Insert Company] staff explained the pack-out process.
[Insert Company] staff informed me to remove all high-value, dangerous, or illegal items, including:
cash, jewelry, medications, credit cards, passports, firearms, and illicit drugs.I have notified [Insert Company] staff of any sentimental items or items that require rush processing.
Non-Salvage & Damaged Items
I understand that [Insert Company] is not responsible for the disposal of non-salvageable items not listed in the sentimental or rush documentation.
I informed the team of any pre-existing damaged items, and they removed or assessed them as requested.
Laundry / Dry Cleaning Instructions
If someone in the household has allergies to detergents, the detergent brand and product I prefer is:
Pre-Packed Contents
I confirm that any pre-packed contents I provided do not contain dangerous goods, weapons, flammables, or poisonous materials.
I understand that [Insert Company] is not liable for the condition of items I personally packed and that I have waived the offer for them to be repacked.
Ownership Confirmation
I confirm that all contents provided to [Insert Company] belong to me and are part of the insured claim.
No items belonging to landlords, tenants, or others have been included.
Authorization
I authorize [Insert Company] to inventory, photograph, and document my contents and provide me online access to review them.
Before Pack-Back
I understand that if I decline pack-back setup, [Insert Company] cannot provide warranty coverage for claim-related issues.
I acknowledge that [Insert Company] is not responsible for missing or damaged items if setup is declined.
After Pack-Out or Pack-Back
Quality & Experience
Am I satisfied with the quality of the contents restoration?
How was my initial experience with the service?
How professionally did [Insert Company] staff conduct themselves?
(If someone stood out, please specify.)
Comparisons & Recommendations
Would I recommend [Insert Company] to others?
How does [Insert Company] compare to other professionals involved in my claim?
Am I satisfied with the customer service provided by the office team?
Portal Review
Have I reviewed my contents using the iCat Homeowner Portal?
If yes, how was the experience?
Property Condition
I confirm that no damage was caused to my property by [Insert Company] staff or any subcontractors.
Additional Comments
Signatures
Road Lead – Full Name & Signature:
Insured – Full Name & Signature: