Storage Occupant Information Form Storage Occupant Information FormPlease enable JavaScript in your browser to complete this form.Space And Rental Information: Date Of Rental Agreement *Monthly Rate: *Unit/Space Size *7x6 Unit - Climate Controlled8x10 Unit - Climate Controlled10x10 Unit - Climate Controlled10x15 Unit - Climate Controlled8x10 Unit - Outdoor Unit8x20 Unit - Outdoor Unit8x16 (Small Car) - Outdoor Space8x20 (Medium Size Truck/Van) - Outdoor Space10x33 (Class A RV/5th Wheel Trailer) - Outdoor Space10x28 (Class C RV) - Outdoor Space10x20 (Class B RV/Pull Behind Trailer) - Outdoor SpaceUnit #NotesOccupant Information Name *FirstLastMailing Address *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePhysical Address Same As Mailing? *YesNoThird ChoicePhysical AddressAddress Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePhone *Email *Preferred Method Of Communication? *Text MessageEmailPhoneWould You Like To Sign Up For Autopay (Credit Card). We Charge A 4% Fee To Process Credit/Debt Cards (This Is Fee Square Charges Us) *No - I Will Be Responsible To Pay In Advance/On Time Before My Due DateYesDrivers License (Front/Back) Click or drag a file to this area to upload. Drivers License Number/State *Military/Reserves Are You Or Your Spouse In The Military/National Guard/Reserves? *Occupant Is Not In The Military/National Guard/ReservesOccupant Is In The Military/National Guard/ReservesCheck OneOccupant Is Active Duty MilitaryOccupant Is ReservesOccupant Is National GuardReporting Unit TelephoneAlternative/Emergency Contact Information Name *FirstLastMailing Address *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePhone *Authorized User To Unit/Space? *NoYesWould You Like To Add An Additional Authorized User? *NoYesAuthorized UserFirstLastAddressAddress Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePhoneWould You Like A Gate Code To Access The Property After Hours (Dusk-Dawn)? *NoYesFour Digit Code You Would Like To Use?Description Of Property Being Stored? *Household GoodsBusiness SuppliesOtherInsurance Election Choose One *I Have Provided Evidence Of Insurance From My Insurance Agent Or Company. I agree To Keep The Insurance In Force During The Time Of My LeaseI Agree To Enroll In Third Party Insurance Through Uhaul I Personally Assume All Risk And Loss To My Property In My Storage SpaceInsurance Policy Number Submit Share this:TwitterFacebookLike this:Like Loading...
