Authorization to Dispose of Unsalvageable Contents Property Owner/Property Manager Name(Required) First Last Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code ItemsInventory #Item Description Add Remove 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(Required)Bill ShupeBrian CurrierBrian VisoskyConnor RobbinsDennis CoteDerek GilbertDoug IndelicatoGlenn PaffordIvan GravelyJack KelleyJack SpoonerJamie CliffordJeff McLeanJenny WisemanJoe DemarcoJohn MeyerJosh CarrierKyle DudleyMike PikeNick PfennigwerthPeter CarlbergRich MurphyRon VasseurScott MassaroShawn HysetteStu ThorneTim CarrTim DrummeyTim LeeTina RobertsonTom HealyTom StevensTony RillieuxTrevor AbbottWendy WilsonProperty Owner Signature(Required)Insurcomm Rep SignatureCAPTCHA Δ
