Please indicate whether, to the best of your knowledge, the work contemplated by this contract is related to a claim under a property insurance policy:
.... YES, to the best of my knowledge, the work contemplated by this contract is related to a claim under a property insurance policy.
.... NO, to the best of my knowledge, the work contemplated by this contract is not related to a claim under a property insurance policy.
Date ....
Customer's signature ....
Residential contractor's signature ....
You may cancel this contract at any time before midnight on the third business day after you have received written notice from your insurer that the claim has been denied in whole or in part under the property insurance policy. See the attached notice of cancellation form for an explanation of this right.
NOTICE OF CANCELLATION
If you are notified by your insurer that the claim under the property insurance policy has been denied in whole or in part, you may cancel the contract by personal delivery or by mailing by 1st class mail a signed and dated copy of this cancellation notice or other written notice to (name of contractor) at (contractor's business address) at any time before midnight on the third business day after you have received the notice from your insurer. If you cancel the contract, any payments made by you under the contract, except for certain emergency work already performed by the contractor, will be returned to you within 10 days following receipt by the contractor of your cancellation notice.
I CANCEL THIS CONTRACT
Date ....
Customer's signature ....
Wis. Stat. § 100.65