Transfer of Responsibility & Release Form


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REPRESENTATIVE'S INFORMATION (person that is present on your behalf at the pickup/delivery location):


I hereby appoint and authorize, listed above Representative, with their consent, to act on my behalf in my absence and make any and all required decisions concerning my move. I accept full responsibility for any and all the decisions made by my authorized representative including but not limited to: Transportation charges, Accessorial services charges, Valuation options, etc. My representative is authorized to sign any and all documents pertaining to my move. I understand that by authorizing my representative to make such decisions, the outcome of the decision made whether financial or for scheduling purposes, is my sole responsibility and that it is the responsibility of my representative to report to me of any and all changes they authorize to be made to my order.

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Signature Certificate
Document name: Transfer of Responsibility & Release Form
lock iconUnique Document ID: 2e802012392f3aca5e7085a4d4585c0538ccf440
Timestamp Audit
November 4, 2019 9:11 am CDTTransfer of Responsibility & Release Form Uploaded by Ira Avdushev - IP