Structure Change Form Step 1 of 3 33% Name Insured(Required)Date(Required) MM slash DD slash YYYY Policy #(Required)Completed By:(Required) Current Property InformationType of Property(Required)1-4 Residential PropertyCommercial PropertyProject #Unit NumberBuilding DescriptionBuilding OccupancyPhysical Address (As shown in policy declarations)(Required) Street Address City State / Province / Region ZIP / Postal Code Updated Property InformationType of Change(Required) 1-4 Residential Property Change Commercial Change Project #Unit #Occupant Name First Last Building DescriptionBuilding OccupancySquare Footage(Required)Exterior Type/Siding(Required)Brick Veneer, face brickBrick Veneer, standardConcrete blockMetal Siding, corrugated aluminumMetal Siding, corrugated aluminum, paintedSiding, vinylStone Veneer, arizona stoneStone Veneer, limestoneStuccoOther, please state belowOther, type of sidingConstruction Type(Required)FrameMasonryMasonry VeneerMobile Home (Deed/Title required to add)Other, please state belowOther Construction TypeRoof Type(Required)Built up tar and gravelCorrugated aluminumCorrugated compositionMetal, other than standing seamMetal, standing seamShingles, asphaltShingles, compositionTile, clay, SpanishTile, concrete, flatOther, please state belowOther Roof TypeYear Built(Required)Other Notes about structurePhysical Address(Required) Street Address City State / Province / Region ZIP / Postal Code ***Please note your changes will be endorsed the day your request is received in our office.***CAPTCHAPhoneThis field is for validation purposes and should be left unchanged. Why AMERIND? Our Story Our Team Board of Directors Cell Advisory Commission AMERIND Products and Services Tribal Government & Business Tribal Workers’ Compensation Tribal Auto Program Homeowners & Renters AMERIND Critical Infrastructure Indian Housing Block Grant Cyber Liability Coverage News & Resources Latest News Newsletter Archive Upcoming Events Risk Control Resources Customer Payment Portal Property Addition and Deletion Forms and Reference Guide Find an Insurance Broker List of Non-Appointed Brokers Insurance Resources Fact-Check Trusted Voices Webinar Community Outreach Charitable Giving Scholarships, Grants & Awards RFP/Job Posting Sharing
Structure Change Form Step 1 of 3 33% Name Insured(Required)Date(Required) MM slash DD slash YYYY Policy #(Required)Completed By:(Required) Current Property InformationType of Property(Required)1-4 Residential PropertyCommercial PropertyProject #Unit NumberBuilding DescriptionBuilding OccupancyPhysical Address (As shown in policy declarations)(Required) Street Address City State / Province / Region ZIP / Postal Code Updated Property InformationType of Change(Required) 1-4 Residential Property Change Commercial Change Project #Unit #Occupant Name First Last Building DescriptionBuilding OccupancySquare Footage(Required)Exterior Type/Siding(Required)Brick Veneer, face brickBrick Veneer, standardConcrete blockMetal Siding, corrugated aluminumMetal Siding, corrugated aluminum, paintedSiding, vinylStone Veneer, arizona stoneStone Veneer, limestoneStuccoOther, please state belowOther, type of sidingConstruction Type(Required)FrameMasonryMasonry VeneerMobile Home (Deed/Title required to add)Other, please state belowOther Construction TypeRoof Type(Required)Built up tar and gravelCorrugated aluminumCorrugated compositionMetal, other than standing seamMetal, standing seamShingles, asphaltShingles, compositionTile, clay, SpanishTile, concrete, flatOther, please state belowOther Roof TypeYear Built(Required)Other Notes about structurePhysical Address(Required) Street Address City State / Province / Region ZIP / Postal Code ***Please note your changes will be endorsed the day your request is received in our office.***CAPTCHAPhoneThis field is for validation purposes and should be left unchanged.