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Add details about your lost Items below. (Click on "+" sign to add more item details.)
Item Description
Purchase Date
Purchase Amount
Purchased Where?
Receipt Available? (Yes/No)
Add
Remove
Hidden
Receipt Available?
Yes. I have a receipt for the items.
No. I do not have a receipt for the items.
Hidden
Upload an image or pdf files of your garment's purchase receipt.
Drop files here or
Select files
Max. file size: 100 MB, Max. files: 10.
Upload all the Purchase receipts available.
Please uploaded all of your purchase receipts
Upload purchase receipts
Drop files here or
Select files
Max. file size: 100 MB.
Hidden
Please uploaded all of your purchase receipts
Yes. I have already added purchase receipts for my garments.
No. I have not uploaded all of my receipts.
I do not have any purchase reciepts.
Do you have a copy of your dry cleaning ticket?
Yes. I have my dry cleaning ticket.
No. I do not have my dry cleaning ticket.
Upload an image of your dry cleaning ticket here.
Drop files here or
Select files
Max. file size: 100 MB.
Please read and sign the certificate below to submit your claim.
Certification
(Required)
Yes. I certify that the above information is true and correct and understand that any missing information may delay the settlement of my claim.
By checking this box you certify that the above information is true and accurate and should any information be deemed fraudulent or inaccurate, it can be used against you in a court of law.
Electronic Signature
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Either upload your electronic signature or type your first and last name below.
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Submit this form now to register your claim and receive a copy in your email inbox.
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214-528-9918
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Give us a call or fill in the form below and we will contact you. We endeavor to answer all inquiries within 24 hours on business days.
214-528-9918
[email protected]
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