requests

Jewelry and Fine Art
By filling in the information below - we will be able to add covered items to your Jewelry Schedule. If you should have any questions regarding the completion of the form - you may call 513.868.9000 or email judy@wilksinsurance.com. Additionally please forward a copy of your appraisal or sales receipt by fax to 513.863.7277 or as a separate email attachment.

Insured Name:
 
Item Description:
Value:
 
Item Description:
Value:
 
Item Description:
Value:
 
Item Description:
Value:
 
Email Address: