THE SCIENTIFIC RACCOON JOURNAL

A New Dog - Bringing Raccoons in from the Cold in Urban Areas

Claims Against Raccoons - Damage to Outbuildings

Your Name and Contact Information Last Name: First Name:

Street Number: Street Name: Suite/Unit Number:

City: Canadian Province: Postal Code:

Home Phone: Cell Phone: Email Address:

Address of Outbuilding Damage (If Different Than Above) Street Number: Street Name: Suite: City:

Province: Postal Code: Contact Phone Number (if different than above):

Nature of the Claim - Estimated Outbuilding Monetary Damage Number of Outbuildings Involved: ........

Estimated Monetary Amount of Damage to Roof(s):

Estimated Damage to Wall(s):....................................

Estimated Damage to Floor(s):...................................

Estimated Damage to Crawl Space(s):........................

Estimated Damage to Fixture(s):.................................

Estimated Damage to Furniture & Equipment:...........


TOTAL AMOUNT OF CLAIM:.................................

Description of the Damage to Outbuilding(s) Roof(s):...............................

Wall(s):...............................

Floors:.................................

Crawl Space(s):..................

Fixture(s):..............................

Furniture & Equipment:.....