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Printable household goods 2026

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The document outlines the Shipper Declaration of Value for household goods transportation, presenting two coverage options for loss or damage: Option 1 offers actual cash value reimbursement up to $300 per move, while Option 2 provides full value protection based on current replacement value with associated costs. Shippers must select one option prior to moving, and failure to do so defaults to Option 2(a) at no charge. The document also includes sections for shipper signatures and details regarding the Bill of Lading.

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Click ‘Get Form’ to open it in the editor.
Begin by entering your name in the 'NAME OF SHIPPER' field. This identifies you as the shipper responsible for the goods.
Select one of the two liability options provided: Actual Cash Value or Full Value Protection. Make sure to read the descriptions carefully to understand what each option entails.
If you choose Full Value Protection, specify the dollar amount of valuation declared by you in the designated field. Ensure this amount meets the minimum requirement of $5,000 per room.
Sign and date where indicated under 'SIGNATURE OF SHIPPER & DATE'. You will need to provide multiple signatures if there are multiple shippers.
Finally, review all entered information for accuracy before saving or printing your completed form.

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