Insurance Application

Your personal information is strictly confidential and will be retained for our use only.

Customer Information

Facility Information

Is the facility fully fenced?
Is the facility lit at night?
Is there controlled access at the gate by code or sign-in sheet?
Unit Number Amount of Coverage Total Number of Months Monthly Premium Total Premium
$ $
$ $
$ $
$

Requirements
Each unit must be separately insured.
Up to three units are allowed per policy.
All units on the policy must be insured for the same number of months.

The earliest coverage can begin is 12:01am the day after this application is submitted and payment is received. Coverage on applications made while a facility is under a hurricane watch or warning will not become effective until 12:01am on the day after the hurricane watch or warning has been lifted. All applications are subject to approval and coverage is valid at the named storage facility only. This form contains general and descriptive information; the policy is the contract. Tenant Insurance may duplicate coverage already provided by your personal homeowners insurance policy, automobile insurance policy, personal liability insurance policy or other source of coverage.

The following goods are uninsurable and are automatically excluded from coverage: accounts, deeds, bills, currency, evidence of debts, securities, money, notes, jewelry, watches, precious stones, furs or garments trimmed with fur, and boats or vehicles stored in the open. Other restrictions may also apply to items in storage.

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 civil penalties. The company reserves the right to request an inventory and appraisal of your items in storage. In the event of a loss, the insured is responsible for producing an accurate record of damage and undamaged articles and proof of ownership. I further understand and agree that the insurance of coverage is based on this application.

CALIFORNIA FRAUD STATEMENT: For your protection, California law requires the following to appear on this form: Any person who knowingly presents false or fraudulent information to obtain or amend insurance coverage or to make a claim for the payment of a loss is guilty of a crime and may be subject to fines and confinement in state prison