Disclaimer With Esign*

THIS IS MY FULL AND FINAL CLAIM AND I ACKNOWLEDGE THE ABOVE IS ALL ACCURATE AND TRUTHFUL TO THE BEST OF MY KNOWLEDGE UNDER PENALTY OF PERJURY AND FRAUD. I ACKNOWLEDGE THAT Southside & Midatlantic Moving AND THEIR INSURANCE COMPANY MAY OPEN AN INVESTIGATION ON THE CLAIMS SUBMITTED ABOVE REQUESTING PICTURES, RECEIPTS, ETC. I FURTHER ACKNOWLEDGE THAT THIS IS MY FULL CLAIM AND I MAY NOT MAKE ADDITIONAL CLAIMS AFTER THIS IS SUBMITTED.