School Insurance Fund Change of Coverage

Submitted by dclewis1 on

If this is an addition to an existing building; give the name of the existing building as it appears on your insurance policy.

If you have any questions, please email Latarsha Silver or call at 919-647-0065.

Notes: Effective Date of Insurance coverage is subject to State Public Education Property Insurance Fund underwriter approval.

Indicates required field

(from construction plans)

Building Has a basement
Building Has Sprinkler Protection
Building Has Burglar Alarm
Building Has Fire Alarm
sq ft

(round up to whole numbers)


 (15% of bldg. value minimum)

Site Address
Form Completed By

(add additional information that would be helpful)