9-11 Remembrance Ceremony
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Left edge of tabInsurance Verification RequestsRight edge of tab
Phone Number: 5612330066
Fax Number: 5612330057
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Palm Beach County Fire Rescue
Plan Review and New Construction
2300 N Jog Rd, Suite #1W27
West Palm Beach, FL 33411-2417
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Phone: 5612330050
Phone: 5617532503 (Wellington)
Fax: 5612330057
E-Mail: Capt. Walter Lenhart
Left edge of tabInsurance Letter Verification Request FormRight edge of tab

You may use the following form to request an insurance verification letter to send to your insurance company.

By sending this request, you agree to pay the $25.00 fee for this service. Letters may take up to 1 to 2 weeks if onsite inspection is required to verify water supply. Please remember that not all requests will result in a favorable letter. To learn more about why a survey may not be successful, please click here to read more about it.

All information on the form is required in order for us to process this request. Incomplete or invalid entries will be ignored.

  • Complete ALL fields on form
  • Click the "Send Request" button
  • Please allow 10-14 days for us to receive and process the request.
Your Name:
E-Mail Address:
Home Phone Number:
Please list your home phone number where you can be reached
 
Other Contact Number(s):
Please list a cell or daytime phone number that you can be reached at if you are not available at the home phone number above.
Separate multiple entries with a ";" (semi-colon) or "," (comma). If no other numbers are available, this can be left blank.
 
Mailing Address:
Property Address:
(This is the address of the site for which you need a letter.)
If you would like a copy of the letter faxed, please complete the following:
Fax Number:
Attention To:

Please Be Aware:
Under Florida law, e-mail addresses are public records. If you do not want your e-mail address released in response to a public records request, do not send electronic mail to this entity. Instead, contact this office by phone or in writing.