Damage Waiver Order Form

To assure our Shippers, PAT provides them with a unique damage waiver pursuant to the following limitations: If there is damage to your vehicle(s), equipment, freight, etc. that is less than the Carrier’s deductible, and the Carrier rejects or fails to process your claim (outside of the Carrier’s own insurance policy’s standard exclusions) for damage allegedly caused by the Carrier, requiring you to either pay for repairs or file a claim with your own insurance company, PAT will provide the Shipper up to $2,500.00 in order to cover your out-of-pocket expenses for repairs or your reimbursement for your own insurance deductible.

For example, if you purchase $1,000.00 in damage waiver coverage and file a claim under your insurance policy and your deductible is $500.00, upon acceptance by PAT, you’ll receive $500.00. If your lowest repair estimate is $250.00, upon acceptance by PAT, you’ll receive $250.00. The amount you receive is contingent on the amount of coverage you purchase prior to shipping your vehicle(s), equipment, freight, etc. AND the actual amount billed for repairs or your insurance deductible.

You understand and agree that PAT, by offering this ‘Damage Waiver’, does not accept any liability for damages occurring before, during or after transport. Further, to request this coverage from PAT, you must first attempt to file a claim with Carrier and/or the Carrier’s insurance company and be denied coverage. Also, you need to provide documentation that the Carrier claim was sent and ignored or denied as well as either three individual repair estimates or proof that you have filed a claim with your own insurance carrier and paid your own deductible. This coverage is only available upon request and receipt of an additional fee; the minimum fee is $50.00 for the base $250.00 coverage. Coverage is available up to $2,500.00 upon request.

Please, complete the following form in order to add Damage Waiver to your shipment.

Quote Number*
Coverage Amounts & Fees*
- $250 Coverage = $50 Fee
- $500 Coverage = $95 Fee
- $750 Coverage = $135 Fee
- $1000 Coverage = $170 Fee
- $1500 Coverage = $240 Fee
- $2000 Coverage = $300 Fee
- $2500 Coverage = $350 Fee
Consent*
I affirm and agree to the following:
I hereby affirm that I am the owner or authorized by the owner of the vehicle(s) listed in the above-referenced order. I hereby authorize Plymouth Auto Transport, LLC to add Damage Waiver to my order listed above for the selected coverage amount and per the terms of my service agreement.

THE DAMAGE WAIVER IS NOT INSURANCE AND SHOULD NOT BE VIEWED AS INSURANCE. IT IS A COMMITMENT BY PLYMOUTH AUTO TRANSPORT TO REIMBURSE OUR SHIPPERS FOR UNCOVERED AND UNEXPECTED OUT OF POCKET EXPENSES. THE DAMAGE WAIVER MUST BE PURCHASED PRIOR TO THE CARRIER TAKING POSSESSION OF THE SHIPPER’S VEHICLE(S), EQUIPMENT, FREIGHT, ETC.