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 Number Building Description Building Occupancy Physical 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 Description Building Occupancy Square 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 siding Construction Type(Required)FrameMasonryMasonry VeneerMobile Home (Deed/Title required to add)Other, please state belowOther Construction Type Roof 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 Type Year Built(Required)Other Notes about structure Physical 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.***CAPTCHACommentsThis field is for validation purposes and should be left unchanged. Why AMERIND? Vision & Mission OUR TEAM Board of Directors AMERIND Products and Services Tribal Government & Business Tribal Workers’ Compensation Tribal Auto Program Homeowners & Renters AMERIND Critical Infrastructure Indian Housing Block Grant News & Resources Latest News Newsletter Archive Events Calendar Safety Resources Commerical Accounts ONLY – Customer Payment Portal Community Outreach Charitable Giving Scholarships, Grants & Awards RFP/Job Posting Sharing Contact General Inquiries Submit a Claim Property Addition and Deletion Forms and Reference Guide Careers
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 Number Building Description Building Occupancy Physical 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 Description Building Occupancy Square 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 siding Construction Type(Required)FrameMasonryMasonry VeneerMobile Home (Deed/Title required to add)Other, please state belowOther Construction Type Roof 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 Type Year Built(Required)Other Notes about structure Physical 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.***CAPTCHACommentsThis field is for validation purposes and should be left unchanged.