Structure Deletion Form ***Please note deletions will not be backdated prior to the receipt of request. Deletions will be processed the date the request was received in our office or the date requested, if it future dated. If you have multiple deletions, please complete one form per property. **Name Insured(Required) Policy #(Required) Completed by:(Required) Email Address(Required) Property InformationProperty Type(Required)1-4 Family PropertyCommercial PropertyProject Number Unit Number Occupant Name First Last Building Description Building Occupancy Physical Address (As shown in policy declarations)(Required) Street Address City State / Province / Region ZIP / Postal Code Effective Date of Deletion(Required) MM slash DD slash YYYY CAPTCHANameThis 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 Deletion Form ***Please note deletions will not be backdated prior to the receipt of request. Deletions will be processed the date the request was received in our office or the date requested, if it future dated. If you have multiple deletions, please complete one form per property. **Name Insured(Required) Policy #(Required) Completed by:(Required) Email Address(Required) Property InformationProperty Type(Required)1-4 Family PropertyCommercial PropertyProject Number Unit Number Occupant Name First Last Building Description Building Occupancy Physical Address (As shown in policy declarations)(Required) Street Address City State / Province / Region ZIP / Postal Code Effective Date of Deletion(Required) MM slash DD slash YYYY CAPTCHANameThis field is for validation purposes and should be left unchanged.