Page 1 of 1
CSM TPP Opt-Out Mgmt Review
Please complete all the REQUIRED (*) fields below.
FACILITY NAME
*
UNIT NUMBER(S)
*
TENANT'S FIRST NAME
*
TENANT'S LAST NAME
*
NAME OF HOMEOWNER/RENTER INSURANCE PROVIDER
*
DOES THE NAME OF THE TENANT ON THE FACIITY LEASE MATCH THE NAME ON THE HOMEOWNER/RENTER INSURNACE POLICY?
*
DOES THE NAME OF THE TENANT ON THE FACIITY LEASE MATCH THE NAME ON THE HOMEOWNER/RENTER INSURNACE POLICY?
Yes
No
IF NOT, WHY
*
HOMEOWNER/RENTER POLICY EXPIRATION DATE
*
DOES YOUR HOMEOWNER/RENTER POLICY COVER YOUR PERSONAL PROPERTY/CONTENT OFF SITE IN STORAGE?
*
DOES YOUR HOMEOWNER/RENTER POLICY COVER YOUR PERSONAL PROPERTY/CONTENT OFF SITE IN STORAGE?
Yes
No
NOTE: IF THERE IS NO COVERAGE FOR YOUR PERSONAL PROPERTY/CONTENTS WHILE IN STORAGE, YOU WILL BE AUTO-ENROLLED IN OUR PROTECTOIN PROGRAM.
INSURANCE DEDUCTIBLE
MOBILE PHONE NUMBER
*
EMAIL ADDRESS
*
UPLOAD COPY OF ORIGINAL DECLARATION PAGE OR ACORD OR LETTER OF INSURANCE
*
Click to choose a file or drag here
Submit
