Move Confirmation

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Please complete this form entirely to complete your move confirmation.

You will receive a copy of your responses via email as soon as this form is submitted.

Please be sure to refer to your Order For Service for all move costs, move dates, payment requirements as well as terms and conditions.

Please call our Client Services Team at 201-705-1996 or email clientservices@whiteglovemoving.us with any questions or if you see anything in your order that needs to be updated.

White Glove Moving and Storage looks forward to working with you and completing your move with excellence!

Basic Move and Contact Information

Name*

First Last

Email*

Are there any other people that should be added to your order?*

**Please note that should anyone else need to act on your behalf or have any questions regarding your move, they must be named on the order and must be present through the duration of the move.**

Additional Contact Info*

Please add all names and phone numbers of parties you would like to add to your order.

I confirm all authorzied parties are listed on my order.*

What is your Order Number*

You may find your order number on your order for service. It is a 6 digit number following the letter "L".

Is your move local or long distance?*

Long distance moves are ONLY if your delivery has a delivery window. If you already have a confirmed delivery date, you may select local even if your move is crossing state lines.

Move Restrictions and Logistics

Do ALL locations involved allow moves 7 days a week?*

Many apartment buildings, gated communities and condo communities do not allow movers on weekends. White Glove must be made aware of such restrictions.

Do ALL locations involved allow moves 24 hours a day?*

Many apartment buildings, gated communities and condo communities do not allow movers outside of business hours. White Glove must be made aware of such restrictions.

Does any location require specific reservations to be made?*

Many apartment buildings, gated communities and condo communities require specific reservations to be made. Will White Glove be subject to complete your move within a reserved time frame?

Restrictions*

What are the specific restrictions/reservations? Please specify to which address they are for.

Do you require any storage with White Glove Moving (not a self storage)*

How long do you antipate needing storage?*

Restriction Disclosure*

By checking this box, I understand that unless otherwise noted above, White Glove may perform a move 7 days a week between the hours of 7am - 10pm. Any restrictions not noted that will delay or interfere with your move may result in additional fees.

Does any location require a Certificate of Insurance from White Glove?*

Many apartment buildings, gated communities and condo communities require any vendor coming onto the propery to provide a Certificate of Insurance.

Please provide contact information for management company requiring the Certificate.*

Please also provide any information provided by your management company about the requirements for the Certificate of insurance including your management phone number, email, certificate holder and additionally insured. If you have a sample, you may email it

Long Distance Delivery Information

Will Storage Be Required?*

Long distance deliveries are always completed with a delivery window. You must declare your first available date to receive delivery in order to initiate this window. Are you able to confirm your first available date for delivery or will you need storage for your shipment?

What is your First Available Date for Delivery?*

Your First Available Date for delivery is defined as the first full day that you have possession of the delivery address and an authorized party will be present and able to receive delivery. White Glove requires 2-4 days notice to start your window. Your Fist Available Date cannot be sooner than the day after your pickup date.

How long of storage do you anticipate? Please note that White Glove will require 2-4 business days to start your delivery window.*

***IMPORTANT INFORMATION ABOUT CONFIRMING YOUR FIRST AVAILABLE DATE***

By confirming your first available date for delivery, you will no longer be able to change this date.

**Changes to the delivery window while in transit will result in re-delivery costs as well as additional storage cost. Client MUST be available throughout the entire delivery window.

Does your Order for Service detail your delivery address?*

Please confirm your delivery address.*

Street Address City State ZIP Code

Please check all that apply to your delivery address.*

Private Home
Apartment
Elevator
Gated Community
Stairs/Walkup Apartment
Storage Unit

Are there any additional delivery locations?*

Please provide second delivery address.*

Street Address City State ZIP Code

Any other delivery addresses/Locations/Notes can be added here.

Is there access for a 53 foot tractor-trailer at the delivery address?*

All long distance deliveries are completed with a tractor-trailer. In the event there is no access for the tractor-trailer at delivery, White Glove will need to rent a "Shuttle Truck" and an additional fee will apply as per your Order For Service.

The final determination of access for a tractor-trailer is made by the driver upon arrival. The driver will assess the location to ensure your delivery can be completed safely.

Delivery Window Confirmation*

All long distance deliveries are completed with a delivery window. Your delivery window starts on the First Available Date selected above. Delivery can occur as early as your First Available Date and up to and within the number of business days indicated in your Order For Service. Please confirm your delivery window below.

Terms and Conditions and Damage Coverage

Move Coverage Information

I understand that if I don't elect additional insurance my shipment is subject to the release value as listed below.

If you have not already selected another option, your shipment is automatically subject to the release value selected automatically below.

Release Value:
**Local moves in New York are subject to a valuation of 30 cents per pound per article.
**Local moves that cross state lines are subject to a valuation of 60 cents per pound per article.
**Local moves in New Jersey are subject to a valuation of One dollar per pound per article.

If you are interested in purchasing additional insurance coverage for your move, we recommend you contact Baker International at 800-356-0093 or visit their website bakerintl.com.

Understanding of White Glove's Terms and Conditions*

I agree to the terms outlined in my Order For Service. I confirm that I have read my Order For service and by checking this box I understand White Glove's policy regarding the below items.

-I have reviewed and understand the Payment Terms

-I have reviewed and confirm my addresses are correct as per my order for service

-I have reviewed and confirm the moving date(s) in my order for service are correct

-I have reviewed and confirm my inventory is correct

If you have questions regarding any of these policies, please refer to your Order For Service or call our client services team at 201-705-1996 before submitting this form.

Understanding of White Glove's Minimum Charges*
I agree to the minimum charge as outlined in my Order For Service.
Unless otherwise noted in your Order For Service, all local moves by the hour are subject to a minimum abount of labor hours and travel time. Any move that takes less than that amount of time are charged for the minimum, or for actual moving time in excess of that.

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