THE SCIENTIFIC RACCOON JOURNAL

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

Claims Against Raccoons - Damage to Residences

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 Residential Damage if Different Than Above Street Number: Street Name: Suite: City:

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

Nature of the Residential Claim - Estimated Monetary Damage to Residence(s) Number of Residences Involved: .......

Estimated Monetary Amount of Damage to Roof(s):

Estimated Damage to Attic(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 Residence(s) Roof(s):...............................

Attic(s):...............................

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

Floor(s):..............................

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

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

Furniture & Equipment:.....