Hunt Lease Liability Application

Please fill out the online application below or
click here to download a PDF application that can be mailed or faxed.
If you have any questions, problems, or concerns
please contact Outdoor Underwriters at 1-866-961-4101.

Hunt Club Information

Hunt Club Name*		Email Address*
Representative*		Main Number*
Mailing Address*		Mobile
		Fax
City*
State*		How did you find us?*
Zip*		Please describe

Number of Acres*
Desired Effective Date*
Premises Posted or Fenced?*
Number of Members*		Average Number of Guests at any time*
Guests Allowed?*		Average Number of Guests at any time*

Present Carrier
Expiration Date
Losses in the Past Five Years

Coverage

Limits to be quoted for*

$300,000/$600,000
$500,000/$1,000,000
$1,000,000/$2,000,000
Higher

Optional - Damage to rented premises (fire damage coverage)

$25,000 Per Occurrence
$50,000 Annual Aggregate
$1,000 Deductible

Landowner Information

Number of Landowners*

Please list all of your landowners below (Include name and address). Also list County and State for acres leased.
How would you like to add landowner information?*

Input Multiple Landowners
Upload File(s)
Send Documents by Fax or Email

Landowner Name*		Main Number*
Representative*		Fax
Address*		Email

City*		Number of Acres Leased*
State*		Location of Acreage*
Zip*		Additional Insured*

Add Another Landowner

Send in a list of Landowners by email to support@outdoorund.com or by fax to 803-451-5695.

After you click "Submit Application", your application for a quote will be sent to Outdoor Underwriters, LLC and we will contact you with more information about the Policy and what your Premium will be.

Payments are accepted over the phone via Visa, MasterCard, or by Check/Money Order in the mail.

Coverage under this program is for non-commercial hunting operations. Guided hunting, outfitting, and other for-profit hunting operations are specifically excluded.

I agree with the above statement

Submit Application