Increase Home Value

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Increase Home Value due to Renovations
Room Additions, Finished Basement, Kitchen Renovations, Bathroom Renovations and more...
Sign in to Google to save your progress. Learn more
* Indicates required question
Full Name: *
(As it appears on your policy)
Your answer
Phone Number: *
Your answer
Email Address: *
Your answer
Choose construction type: *
(What did you do to your home?)
Choose
Room Addition
Finished Basement
Kitchen Renovation
Bathroom Renovation
Other Major Improvement
Condo - Increase Contents
Tenant's - Increase Contents
Will you temporarily reside elsewhere during renovations? *
(greater than 30 days)
Provide details of the changes you made or will make: *
Your answer
Total money invested: *
(If you did the work yourself, you should include the value of labor costs. In the event of a future claim, you may not wish to do the work yourself again.)
Your answer
Submitting this information IS NOT a Policy or Binder of Insurance. No coverage will be bound until you receive confirmation from us.
BY CLICKING THE "SUBMIT" BUTTON BELOW, I CERTIFY THAT THERE IS NO PRE-EXISTING CLAIM, LOSS OR CIRCUMSTANCE LIKELY TO LEAD TO SUCH A CLAIM OR LOSS FOR WHICH I AM APPLYING FOR COVERAGE.
WARNING: ANY PERSON WHO KNOWINGLY AND WITH INTENT TO DEFRAUD ANY INSURANCE COMPANY OR ANOTHER PERSON FILES AN APPLICATION FOR INSURANCE CONTAINING ANY MATERIALLY FALSE INFORMATION, OR CONCEALS FOR THE PURPOSE OF MISLEADING INFORMATION CONCERNING ANY FACT MATERIAL THERETO, COMMITS A FRAUDULENT INSURANCE ACT, WHICH IS A CRIME AND SUBJECTS THE PERSON TO CRIMINAL AND [NY: SUBSTANTIAL] CIVIL PENALTIES. IN TN, VA AND WA, INSURANCE BENEFITS MAY ALSO BE DENIED.
NOTICE TO OHIO APPLICANTS: ANY PERSON WHO, WITH INTENT TO DEFRAUD OR KNOWING HE/SHE IS FACILITATING A FRAUD AGAINST AN INSURER, SUBMITS AN APPLICATION OR FILES A CLAIM CONTAINING A FALSE OR DECEPTIVE STATEMENT IS GUILTY OF INSURANCE FRAUD.

Questions? Contact:
Cameron A. Shandersky, CPCU
Schiff Insurance
P.O. Box 145496
Cincinnati, OH 45250-5496
P: 513.870.2580
cameron_shandersky@schiffinsurance.com
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
 
 


About Author

Cameron A. Shandersky, CPCU
Cameron's Bio