A. van Leeuwenhoeksweg 50, 2408 AN Alphen aan den Rijn     +31 (0)172-449977     netherlands@ags-globalsolutions.com
A. van Leeuwenhoeksweg 50, 2408 AN Alphen aan den Rijn
+31 (0)172-449977
netherlands@ags-globalsolutions.com
C
IMPORTANT
Below, please submit the total insurance value of your goods. In order to avoid under insurance, we request you to follow the removal industry’s average insured value, which is EUR 1,750.00 – EUR 2,500.00. Data submitted by you will be used for insurance purposes only (internal use).

Please scroll down if you would like to upload an insurance list.

You only want to insure a part of your household?
Unfortunately this is not a service we offer. The insurer’s earnings model is designed to generate sufficient premium to be able to compensate for any damage and/ or loss. When clients minimize insurance, the insurer’s income is sharply reduced, while the risk of damage by definition does not decrease and the amount of the claim payout generally increases (when only valuable and/ or fragile goods are insure).

Antiques and art objects
Valuation reports must be submitted with high value items (items with an individual value of EUR 1,500.00 or higher) without serial number and/ or purchase receipt/ invoice. Usually this concerns art pieces and antiques. A value statement from an official body may also serve as proof (eg an auction house or antique shop). If no purchase receipt/ invoice or valuation report for above items is present, it will be a binding valuation on damage by our insurance expert. If no purchase receipt can be presented for items with a serial number, you must provide us with at least when the item is purchased, where and for which amount. Based on this information the insurer will research and determine the value (settlement amount).

    Your personal information

    Last name*

    E-mail address

    Order number*

    I request to arrange transport insurance for my removal at a total amount (in EURO) of

    Remarks
    The following articles/items in my shipment, have an individual value of more than € 1,500.00 (one thousand EURO) or an exceptional value related to the nature of the article/item. A matching set of items with a total value above € 1,500.00 (e.g. four dining table chairs) can be noted as well.
    Jewellery and cash money are not covered.

    Items

    If you have more than 10 items, please add a document with these items additional to this form.

    Document with items for shipment

    When you use this form, you agree to the storage and processing of your data through this website.

    *=required field(s)

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