Home Removal Survey

Removal To
Address*
Type of Property*
Location
Is Lift Available?
- Yes
- No
Is storage requested, and if so, how long?
Any items to be dismantled & reassembled?
Removal Date*

DD slash MM slash YYYY
Packing Service Required*
- Full Packing Service
- Glass & Breakable Packing Service
- Owner Packed Service (We do not accept liability for loss or damage to owner packed goods and insurance cover is not available)
Please provide us with name and address of your Company, if they are paying for your removal:
Any access issues (collection or delivery):
Any items of high value (above £3000)
Items requiring special attention: (include them in your inventory And include them here as well)

Boxed Goods

Please enter the number of each item below
Box Carton

Dimensions: 48 x 35 x 35cm
Use for books, records, tools, foodstuff, heavy items, bottles & liquids.
Standard Carton

Dimensions: 47 x 47 x 53cm
Use for china, glassware, toys, pans, electrical items, small appliances.
Linen Carton

Dimensions: 27 x 47 x 89cm
Use for linen, folded clothes, soft toys
Wardrobe Carton

Dimensions: 52 x 47 x 125cm
Used for hanging garments
Trunk
Suitcases
Any Additional Items?
Boxed Goods Calculations
Overall Total

Removal From