Request for Personal Property Change Type of Request ChangeAddDelete Insured Name Email Phone Effective Date Is this a new location? YesNo Complete Location Address (street, city, state, zip) Construction Type Frame Masonry (wood frame & masonry walls) Non-Combustible (all steel) Masonry Non-Combustible (masonry & steel) Fire Resistive (large concrete cinder blocks) Year Built Number of Stories Basement YesNo Total Square Footage Tenant or Owner-Occupied Owner/Landlord Building Use Building Replacement Value Contents Replacement Value Business Income Limit Sales or Rental Revenue Mortgagee, Additional Interest, and/or Loss Payee Complete Address (if any) Acknowledgement of this form will be your copy of our change request sent to the insured company. If you do not receive an acknowledgement within 5 days, please notify us. No coverage will be in effect until you receive confirmation from our office. If we have questions, please let us know the best way to reach you. Phone Number to Call Best Time to Call Submit OK -- Check if ready to send your info.