Please enable JavaScript in your browser to complete this form.
Please enable JavaScript in your browser to complete this form.
Tenant Insurance Information Upload
Please enable JavaScript in your browser to complete this form.
Please enable JavaScript in your browser to complete this form.
-
Step
1
of 2
Date / Time
Date
Time
Full Legal Name
*
First
Middle
Last
Legal Mailing Address
*
Address Line 1
Address Line 2
City
--- Select state ---
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Phone
*
Email
*
Next
Protecting your property in storage is your responsibility. Rental Contract/Addendum I understand that it is a requirement of this storage facility that I maintain insurance covering my goods for as long as they are in storage. I have elected to meet this insurance requirement in the following manner:
INSURANCE REQUIREMENT
*
Upload an image or pdf of my HOMEOWNER`S / RENTER`S POLICY COVERAGE
Complete the Information Below for my HOMEOWNER`S / RENTER`S POLICY COVERAGE
Checkboxes
*
I have contacted my insurance agent and I have confirmed that I have insurance coverage for my property while in storage at this facility through either my homeowner's policy or renter's policy, and am aware of my policy`s deductible. I have attached a copy of my insurance company`s declarations page as proof of coverage. Long Leaf Storage makes no representations concerning whether a homeowner's or renter's policy covers goods while in storage. I agree that for the duration that my property is in storage at this storage facility, I will maintain my homeowner's or renter's policy in full force and effect. Furthermore, if at anytime my homeowner's or renter's policy is terminated or modified so that my property does not have insurance coverage, I, therefore agree to notify the storage facility and hold harmless for, and release from them, any loss or damage that occurs to my goods while in storage.
I agree to the following rules and steps:
*
While using your parking space to store a vehicle or a trailer, it is REQUIRED that you fully secure the vehicle at all times. A full cover tongue lock or higher quality lock is recommended.
NO LOOSE items should be left on the vehicle or trailer at any time. NO ITEMS are allowed to be left on the ground or not on or in the vehicle or trailer. All compartments should be locked and secured at all times. Please regularly check the vehicle or trailer to ensure that it is well maintained and in a clean and safe position.
Please remember keep the vehicle or trailer fully insured at all times.
Insurance Declarations Page File Upload
*
Click or drag a file to this area to upload.
INSURANCE COMPANY NAME
*
Policy Number
*
Agent`s Name
*
Agent`s Phone
*
Deductible Amount
APPROXIMATE CASH VALUE OF GOODS (Customer`s estimate)
I assume full liability and responsibility for any and all loss or damage that occurs to my goods from any cause while in storage, including without limitation, personal, consequential, special, or incidental damages, even if storage facility has been advised of the possibility or foreseeability of such damage. Furthermore I hold this storage facility harmless and release them for any damage or injury caused to my property or person from any cause, including but not limited to mold, mildew and any type of vermin, while utilizing this storage facility. Furthermore I will indemnify This Storage Facility for any loss or damage that may be caused to This Storage Facility as a result of my use of this facility. I acknowledge and understand that this storage facility does not insure my goods, and has no responsibility to provide insurance. I ACKNOWLEDGE AND AGREE THAT ANY LOSS OR DAMAGE TO MY GOODS, OR PERSON, THAT OCCURS WHILE MY GOODS ARE IN STORAGE IS FULLY MY RESPONSIBILITY AND AT MY EXPENSE, AND I WAIVE THE RIGHT TO SUE FOR ANY SUCH DAMAGES.
*
Clear Signature
Sign Above
Phone
Finish
Scroll to Top