Opt-out of Personal Contents Program

Required for submission

Property

Property:

Resident

Primary:

First Name:

Last name:

Email Address:

Phone Number:

Add Resident

Address

Insured Address:

Apartment Number (Optional):

City:

State:

Zip:

As a benefit to the Lessee, in exchange for $5.50 per month, Personal Contents Program provides Lessee with $5,000 of personal contents coverage. Lessee is not required to maintain personal contents coverage and may opt out of Personal Contents Program at any time by submission of the Lessee’s personal information to hra.confirminsurance.com By completing personal information submission via hra.confirminsurance.com, Lessee acknowledges that he or she shall not be allowed to file any claims for loss or damage under Personal Contents Program and Lessee shall be personally responsible for any and all damage to Lessee’s property. Upon execution of the submission of Lessee’s personal information, Lessee shall not be eligible for coverage under any Personal Property Protection Program until the following Contract Term. The Personal Contents Program Opt Out submission request must be completed no later than thirty (30) days prior to Lessee’s next billing cycle, to opt out of the Personal Contents Program for the subsequent month.

By completing the PPP opt out form I agree to the above terms.

I understand by completing the PPP opt out form that I am no longer covered under the Personal Contents Program program provided by my property management company through Habitat.

Please email hra.rlip@popicllc.com for assistance or to request a call back.