SF Bay Area Moving

SF Bay Area Moving – Insurance & Valuation Coverage Form

Please complete this form to indicate which items you want to insure during your move with SF Bay Area Moving.

You may choose to insure specific items only (recommended), especially items valued above $1,000.

Alternatively, at the end of this form, you may choose to insure the full value of your move (up to $20,000).

Our team will calculate your insurance cost based on your selections.

* Indicates required question

Insurance & Valuation Coverage
SF Bay Area Moving · Residential & Commercial Relocations
Section 1 of 6

Customer Information

Section 2 of 6

Choose Your Coverage Option

Section 3 of 6

Items You Want to Insure

Please list all items you want coverage for — from $0 to $999 amount value per item.

You may list multiple items (one per line).

Item name
Brand / Model (optional)
Approx. value (USD)
Total Section 3: $0.00
Section 4 of 6

Items Above $1,000 (Extraordinary Value)

Do you have any single items worth more than US$ 1,000? If yes, please list them individually below.

Total Sections 3 + 4 (consolidated): $0.00
Section 5 of 6

Full-Move Coverage

Section 6 of 6

Terms & Signature