Risk Management Changes to Drone Schedule First Name of Requester * Last Name of Requester * Requester Email Address * County/Entity Name * Repeater Choose One * New Change Delete Effective Date of Change * Make and Model Serial Number * Weight Year Location Address (Where is it stored?) * Location Address (Where is it stored?) Location Address (Where is it stored?) Location Address (Where is it stored?) City City State/Province State/Province Zip/Postal Zip/Postal Replacement Cost * Use * Additional Drone Remove Drone Department Name Special Instructions Enter your email address to receive an email copy of this submission More information For more information, contact Underwriting at (919)719-1170 or email [email protected]. The County/Entity will receive an endorsement as confirmation of all changes. Submit
