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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?

Yes

IF NOT, WHY

HOMEOWNER/RENTER POLICY EXPIRATION DATE

DOES YOUR HOMEOWNER/RENTER POLICY COVER YOUR PERSONAL PROPERTY/CONTENT OFF SITE IN STORAGE?

Yes

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