{"id":2275,"date":"2016-03-24T12:22:14","date_gmt":"2016-03-24T11:22:14","guid":{"rendered":"https:\/\/www.khz.nl\/?page_id=2275&#038;lang=en"},"modified":"2021-01-06T11:26:39","modified_gmt":"2021-01-06T10:26:39","slug":"damaged-goods-claim","status":"publish","type":"page","link":"https:\/\/www.khz-movers.com\/en\/forms\/damaged-goods-claim\/","title":{"rendered":"Damaged goods claim"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; admin_label=&#8221;section&#8221; _builder_version=&#8221;3.22&#8243;][et_pb_row admin_label=&#8221;row&#8221; _builder_version=&#8221;3.25&#8243; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;3.25&#8243; custom_padding=&#8221;|||&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_text admin_label=&#8221;Text&#8221; _builder_version=&#8221;3.27.4&#8243;]<\/p>\n<p>We regret that damages have occurred during the move of your household goods. We do however take full responsibility!<\/p>\n<p>Please read this instruction carefully before completing this form. Please fill out this form completely. We will acknowledge receipt of your claim within 48 hours.<\/p>\n<p>If possible\/applicable please upload a copy of the purchase receipt or a quotation of repair and (digital) pictures of the damaged items.<\/p>\n<p><span style=\"color: #ff0000;\">Please\u00a0enter below\u00a0your e-mail address in order to receive a copy of the data submitted by you.<\/span><\/p>\n\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f2249-o1\" lang=\"en-US\" dir=\"ltr\" data-wpcf7-id=\"2249\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/en\/wp-json\/wp\/v2\/pages\/2275#wpcf7-f2249-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" enctype=\"multipart\/form-data\" autocomplete=\"off\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"2249\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.1\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f2249-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/><input type=\"hidden\" name=\"_wpcf7_recaptcha_response\" value=\"\" \/>\n<\/fieldset>\n<style type=\"text\/css\">\n.rTable {\n display: table;\n width: 100%;\n}\n.rTableRow {\n display: table-row;\n}\n.rTableHeading {\n display: table-header-group;\n background-color: #ddd;\n}\n.rTableCell, .rTableHead {\n display: table-cell;\n padding: 1px 5px;\n}\n.rTableHeading {\n display: table-header-group;\n background-color: #ddd;\n font-weight: bold;\n}\n.rTableFoot {\n display: table-footer-group;\n font-weight: bold;\n background-color: #ddd;\n}\n.rTableBody {\n display: table-row-group;\n}\n<\/style>\n<h3>Your personal information\n<\/h3>\n<p>Last name<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"fld2\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fld2\" \/><\/span>\n<\/p>\n<p>E-mail address<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"fld4\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"fld4\" \/><\/span>\n<\/p>\n<p>Please provide your daytime phone number*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"fld5\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-text wpcf7-validates-as-tel\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"fld5\" \/><\/span>\n<\/p>\n<p>Order number*<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"fld6\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Please put the AGS Global Solutions - Netherlands reference number here, this number is mentioned in all e-mails send to you\" value=\"\" type=\"text\" name=\"fld6\" \/><\/span>\n<\/p>\n<h3>Damage\n<\/h3>\n<p>When did you find out about the damages.<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"fld7\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fld7\" \/><\/span>\n<\/p>\n<p>Did you report the damages to us earlier.<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"fld7\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"fld7\" value=\"yes\" \/><span class=\"wpcf7-list-item-label\">yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"fld7\" value=\"no\" \/><span class=\"wpcf7-list-item-label\">no<\/span><\/span><\/span><\/span>\n<\/p>\n<p>If yes, whom<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"fld9\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fld9\" \/><\/span>\n<\/p>\n<h3>Banking Details\n<\/h3>\n<p>IBAN number<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"fld12\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fld12\" \/><\/span>\n<\/p>\n<p>For international transfers please also include following details.\n<\/p>\n<p>Your full address<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"fld105\"><textarea cols=\"40\" rows=\"3\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"fld105\"><\/textarea><\/span>\n<\/p>\n<p>SWIFT<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"fld13\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fld13\" \/><\/span>\n<\/p>\n<p>Name of your bank<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"fld103\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fld103\" \/><\/span>\n<\/p>\n<p>Full address of your bank<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"fld104\"><textarea cols=\"40\" rows=\"3\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"fld104\"><\/textarea><\/span>\n<\/p>\n<h3>Overview of Damages\n<\/h3>\n<div class=\"rTable\">\n\t<div class=\"rTableRow\">\n\t\t<div class=\"rTableHead\">\n\t\t\t<p><strong>Inventory*<\/strong>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"rTableHead\">\n\t\t\t<p><strong>Item<\/strong>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"rTableHead\">\n\t\t\t<p><strong>Description in damage<\/strong>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"rTableHead\">\n\t\t\t<p><strong>Purchase date<\/strong>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"rTableHead\">\n\t\t\t<p><strong>Purchase amount in \u20ac<\/strong>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"rTableHead\">\n\t\t\t<p><strong>Claim amount in \u20ac<\/strong>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"rTableRow\">\n\t\t<div class=\"rTableCell\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"fld18\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fld18\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"rTableCell\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"fld19\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fld19\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"rTableCell\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"fld20\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fld20\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"rTableCell\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"fld21\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fld21\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"rTableCell\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"fld22\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fld22\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"rTableCell\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"fld23\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fld23\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"rTableRow\">\n\t\t<div class=\"rTableCell\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"fld26\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fld26\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"rTableCell\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"fld27\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fld27\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"rTableCell\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"fld28\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fld28\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"rTableCell\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"fld29\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fld29\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"rTableCell\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"fld30\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fld30\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"rTableCell\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"fld31\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fld31\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"rTableRow\">\n\t\t<div class=\"rTableCell\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"fld34\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fld34\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"rTableCell\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"fld35\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fld35\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"rTableCell\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"fld36\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fld36\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"rTableCell\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"fld37\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fld37\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"rTableCell\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"fld38\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fld38\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"rTableCell\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"fld39\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fld39\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"rTableRow\">\n\t\t<div class=\"rTableCell\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"fld42\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fld42\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"rTableCell\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"fld43\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fld43\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"rTableCell\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"fld44\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fld44\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"rTableCell\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"fld45\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fld45\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"rTableCell\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"fld46\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fld46\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"rTableCell\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"fld47\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fld47\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"rTableRow\">\n\t\t<div class=\"rTableCell\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"fld50\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fld50\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"rTableCell\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"fld51\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fld51\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"rTableCell\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"fld52\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fld52\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"rTableCell\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"fld53\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fld53\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"rTableCell\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"fld54\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fld54\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"rTableCell\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"fld55\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fld55\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"rTableRow\">\n\t\t<div class=\"rTableCell\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"fld58\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fld58\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"rTableCell\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"fld59\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fld59\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"rTableCell\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"fld60\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fld60\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"rTableCell\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"fld61\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fld61\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"rTableCell\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"fld62\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fld62\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"rTableCell\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"fld63\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fld63\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"rTableRow\">\n\t\t<div class=\"rTableCell\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"fld66\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fld66\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"rTableCell\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"fld67\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fld67\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"rTableCell\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"fld68\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fld68\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"rTableCell\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"fld69\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fld69\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"rTableCell\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"fld70\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fld70\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"rTableCell\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"fld71\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fld71\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"rTableRow\">\n\t\t<div class=\"rTableCell\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"fld74\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fld74\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"rTableCell\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"fld75\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fld75\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"rTableCell\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"fld76\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fld76\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"rTableCell\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"fld77\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fld77\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"rTableCell\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"fld78\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fld78\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"rTableCell\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"fld79\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fld79\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"rTableRow\">\n\t\t<div class=\"rTableCell\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"fld82\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fld82\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"rTableCell\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"fld83\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fld83\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"rTableCell\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"fld84\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fld84\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"rTableCell\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"fld85\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fld85\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"rTableCell\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"fld86\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fld86\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"rTableCell\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"fld87\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fld87\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"rTableRow\">\n\t\t<div class=\"rTableCell\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"fld90\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fld90\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"rTableCell\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"fld91\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fld91\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"rTableCell\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"fld92\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fld92\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"rTableCell\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"fld93\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fld93\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"rTableCell\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"fld94\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fld94\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"rTableCell\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"fld95\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fld95\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n<p>* Inventory item: please indicate the corresponding number on the descriptive inventory.\n<\/p>\n<p>If above not enough space please use <a href=\"http:\/\/noblefiles.com\/khz\/forms\/damagegoods-form-extra-items.docx\">this document<\/a> or attach your own list. We kindly request you NOT to dispose of any damaged items. After receipt of the completed form we will check whether the form has been completed correctly and is provided with enclosures. When complete we will send the damage claim to our insurer. The insurer will the decide if a reimbursement will be made based on these documents or that an assessment by an expert will be necessary. For further details we refer to our General Conditions.\n<\/p>\n<p>File with list of goods<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"fld99\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file\" accept=\".txt,.pdf,.doc,.xlsx,.xls,.docx,.rtf\" aria-invalid=\"false\" type=\"file\" name=\"fld99\" \/><\/span>\n<\/p>\n<p>Remarks<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"fld102\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"fld102\"><\/textarea><\/span>\n<\/p>\n<p>\n\t<font color=\"red\"><span class=\"wpcf7-form-control-wrap\" data-name=\"fld102\"><span class=\"wpcf7-form-control wpcf7-acceptance\"><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"fld102\" value=\"1\" aria-invalid=\"false\" \/><\/span><\/span><\/span> I hereby declare to have completed this form to the best of my knowledge. A false or incorrect claim can lead to rejection or a delay in settling the claim.\n\t<\/font>\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"gdpr\"><span class=\"wpcf7-form-control wpcf7-acceptance\"><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"gdpr\" value=\"1\" aria-invalid=\"false\" \/><span class=\"wpcf7-list-item-label\">When you use this form, you agree to the storage and processing of your data through this website.<\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<div>\n<span class=\"wpcf7-form-control-wrap recaptcha\" data-name=\"recaptcha\"><span data-sitekey=\"6LcumtsaAAAAAGg4bRhXi_1rsHw2_0I6H_xCdyMj\" class=\"wpcf7-form-control wpcf7-recaptcha g-recaptcha\"><\/span>\r\n<noscript>\r\n\t<div class=\"grecaptcha-noscript\">\r\n\t\t<iframe loading=\"lazy\" src=\"https:\/\/www.google.com\/recaptcha\/api\/fallback?k=6LcumtsaAAAAAGg4bRhXi_1rsHw2_0I6H_xCdyMj\" frameborder=\"0\" scrolling=\"no\" width=\"310\" height=\"430\">\r\n\t\t<\/iframe>\r\n\t\t<textarea name=\"g-recaptcha-response\" rows=\"3\" cols=\"40\" placeholder=\"reCaptcha Response Here\">\r\n\t\t<\/textarea>\r\n\t<\/div>\r\n<\/noscript>\r\n<\/span>\n<\/div>\n<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Send\" \/>\n<\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>We regret that damages have occurred during the move of your household goods. We do however take full responsibility! Please read this instruction carefully before completing this form. Please fill out this form completely. We will acknowledge receipt of your claim within 48 hours. If possible\/applicable please upload a copy of the purchase receipt or [&hellip;]<\/p>\n","protected":false},"author":32,"featured_media":0,"parent":2285,"menu_order":0,"comment_status":"closed","ping_status":"open","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"[vc_row][vc_column][vc_column_text]We regret that damages have occurred during the move of your household goods. We do however take full responsibility!\r\n\r\nPlease read this instruction carefully before completing this form. Please fill out this form completely. We will acknowledge receipt of your claim within 48 hours.\r\n\r\nIf possible\/applicable please upload a copy of the purchase receipt or a quotation of repair and (digital) pictures of the damaged items.\r\n\r\n<span style=\"color: #ff0000\">Please\u00a0enter below\u00a0your e-mail address in order to receive a copy of the data submitted by you.<\/span>[\/vc_column_text][vc_empty_space height=\"10px\"][contact-form-7 id=\"2249\" title=\"Damaged goods claim\"][\/vc_column][\/vc_row]","_et_gb_content_width":"","footnotes":""},"class_list":["post-2275","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.khz-movers.com\/en\/wp-json\/wp\/v2\/pages\/2275","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.khz-movers.com\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.khz-movers.com\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.khz-movers.com\/en\/wp-json\/wp\/v2\/users\/32"}],"replies":[{"embeddable":true,"href":"https:\/\/www.khz-movers.com\/en\/wp-json\/wp\/v2\/comments?post=2275"}],"version-history":[{"count":0,"href":"https:\/\/www.khz-movers.com\/en\/wp-json\/wp\/v2\/pages\/2275\/revisions"}],"up":[{"embeddable":true,"href":"https:\/\/www.khz-movers.com\/en\/wp-json\/wp\/v2\/pages\/2285"}],"wp:attachment":[{"href":"https:\/\/www.khz-movers.com\/en\/wp-json\/wp\/v2\/media?parent=2275"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}