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City of Mount Vernon 40 Public Square, Mount Vernon, OH 4305003062007Page 1www.mountvernonohio.orgWATERINBASEMENT (WIN) CLAIM FORM If the sewage backup in your basement was the result of negligence
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The water-in-basement (WIB) claim form is a document used to report and claim damages caused by water intrusion in basement areas covered by specific insurance policies.
Property owners who have experienced water damage in their basements and wish to seek compensation through their insurance policy are required to file the WIB claim form.
To fill out the WIB claim form, provide accurate personal and property information, describe the extent and cause of water damage, list any repairs made, and attach supporting documentation such as photos and receipts.
The purpose of the WIB claim form is to formally initiate a claim process for water damage in basements, allowing policyholders to seek financial compensation for repairs and damages.
The claim form must include details such as the date of the incident, description of the water intrusion, affected property details, estimated damages, and any mitigation actions taken.
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