Contents Authorization to Dispose of Unsalvageable Contents Property Owner/Property Manager Name* First Last Address Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Multiple Text Input Rows Inventory # Item Description Inventory # Item Description Inventory # Item Description Inventory # Item Description Inventory # Item Description Inventory # Item Description Inventory # Item Description Inventory # Item Description Inventory # Item Description Inventory # Item Description By signing below, the unit owner/tenant gives Insurcomm permission to remove and dispose of all contents that are deemed unsalvageable. Date MM slash DD slash YYYY Insurcomm Rep*Select Insurcomm RepTrevor AbbottTim CarrJamie CliffordDennis CoteBrian CurrierTom HealyDoug IndelicatoTim LeeJeff McLeanDan NersesianGlenn PaffordMike PikeNeil RobbinsTom StevensJack SpoonerRachel StoneRon VasseurKayla ThompsonWendy WilsonProperty Owner Signature*Insurcomm Rep SignatureCAPTCHANameThis field is for validation purposes and should be left unchanged. Δ
