Fillable C.L.U.E. REPORT AUTHORIZATION The C.L.U.E. Personal Property Risk-Only

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C.L.U.E. REPORT AUTHORIZATION The C.L.U.E. Personal Property Risk-Only

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C.L.U.E.® REPORT AUTHORIZATION
The C.L.U.E.® Personal Property Risk-Only ("C.L.U.E.®") Report is a 5-year insurance
claims history report on a property.
In order to comply with State and Federal laws and regulations pertaining to personal privacy
and fair information practices, the written consent of the property owner is required to access
the C.L.U.E.® Report.
There is no additional charge if the Premium Natural Hazard Disclosure Report was ordered.
($19 additional charge with the Expanded Plus Report)
If you would like to receive a C.L.U.E.® Report, please fill out and sign the form below. Upon
receipt of the authorization form, we will order the C.L.U.E.® Report and send it to the email
address provided below.
I AM the property owner and hereby authorize Disclosure Source to obtain the C.L.U.E.®
Report on my behalf.
Property
Address_____________________________________________________________________
Disclosure Source Confirmation/Order # ____________________________________________
Please send the C.L.U.E.® Report to:
Email________________________________________________________________________
____________________________________________________________________________
Date Print Property Owner’s Name (required) Property Owner’s Signature (required)
The provider, LexisNexis® does provide a free C.L.U.E.® Report to the property owner if requested on
their website. For more details visit:
https://personalreports.lexisnexis.com/homesellers_disclosure_report/landing.jsp
NOTE: The Real Estate Agent is NOT eligible to provide consent on behalf of the property owner. The
standard real estate agent agreement between the seller and the agent for the agent’s services does not meet
this requirement.
Fax this form to 800-287-8673
or
email it to disclosuresource@fnf.com
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C.L.U.E. REPORT AUTHORIZATION The C.L.U.E. Personal Property Risk-Only

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Completed 30 July 2021

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