General Liability

Hi! This application should take only a few minutes to complete - it may seem like a lot of questions but it's because we can get you covered almost immediately if you qualify. No waiting around, no secondary forms, none of that. And if you have any questions along the way, don't hesitate to call us for help at (888) 202-1526.

Date you would like coverage to begin

Your estimated annual revenue

You must have less than $275,001 in estimated annual revenues for enrollment through this website. You may still purchase coverage through our sales team. Please call 1-888-202-1526.

Business Type

PPA membership ID

Would you like to add Certified Acts of Terrorism Coverage to your policy? See Terrorism Policyholder Notice for a description of this optional coverage.

Yes No

Have you had any losses in the last 5 years under a General Liability claim?

Yes No Unfortunately, you are not eligible for enrollment through this website, but you still may be eligible for coverage. Please contact our sales team toll-free at 1-888-202-1526.

Do your operations include any of the following activities?

Yes No Unfortunately, you are not eligible for enrollment through this website, but you still may be eligible for coverage. Please contact our sales team toll-free at 1-888-202-1526.

Pyrotechnics
Taking photographs while operating a hot air balloon or other aircraft or watercraft
Photography during skydiving or hang gliding
Pornography
Photography used for surveillance or security purposes
Any photography for military or police operations other than reunions or directories

Address

Please provide the physical address of your business (may not be a PO Box).

Location Address

Location Apt/Suite

Location City

Interested in purchasing a policy? Please call us at (888) 202-1526, if you are a resident of New York.

Location State

Your municipality as defined by the Kentucky Department of Insurance is required to calculate taxes for this policy. In the following question, first locate and select your city. If you your city is not an available option, locate and select your county. If your county is not an available option, select "Other".

Municipality

Location Zip code

Additional Insureds

Please Note: An additional insured is a person or organization that enjoys the benefits of being insured under an insurance policy, in addition to whoever originally purchased the insurance policy. Family members, employees, and contracted employees are covered under the definition of "Named Insured" and do not need to be added as additional insureds.

Name

Address

Apt/Suite

City

State

Zip