Proposal Request for Municipality and County Appraisals

To receive a proposal for our services, please complete the questionnaire below.

If you have any questions, please call (800) 624-9993.

Municipality or County Name:

Contact Person:

Contact Person's Title:


Email Address:

Mailing Address:




Zip Code:

Phone Number:

Fax Number:


Attach a copy of your Insurance Statement of Values (or building list with square footage & building usage).



Number of Employees:

Number of Departments:

Infrastructure items not on Statement of Values

Number of Bridges:

Number of Roads:

Fixed Assets Cutoff Amount: $

The purpose for requesting
an inventory and appraisal:



Have you had any recent acquisitions
of Homeland Security Equipment?