Recreational 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.

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

City*
State*
Zip*

Desired Effective Date*
Number of Members*
Commercial Operation or Club Lease?*
County & State of Acres
Number of Acres*
What activities are performed on the property?*

Present Carrier
Expiration Date
Losses in the Past Five Years

Approximate Number of Trails*
Average Length of Trails*

Are trails maintained by club?	*	Yes No
Are trails maintained by landowner?	*	Yes No
Are ATV's leased or rented?	*	Yes No
Are locations fenced or posted?	*	Yes No
Any leased hunting or commercial hunting?	*	Yes No
Are certificates of insurance required for any leased or commercial hunting?	*	Yes No
Any watercraft or docks?	*	Yes No
Any buildings?	*	Yes No
Any lakes or ponds?	*	Yes No
Any dams, spillways, or bridges?	*	Yes No
Any property used for mining?	*	Yes No
Any property containing gas or oil wells?	*	Yes No
Any of the property leased for farming?	*	Yes No

Hold Harmless Agreement

Attach or mail a copy of Hold Harmless agreement with club member signatures and listing of all club members.*

Upload File(s)
Send Documents by Fax or Email

Send in a copy of Hold Harmless agreement 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.

Submit Application

In California: Outdoor Insurance Agency License #0I98729

140 Stoneridge Dr. Suite 230 Columbia, SC 29210
(866) 961-4101

Outdoor Underwriters LLC, In California: Outdoor Insurance Agency License #0I98729. No claim to any government works or material copyrighted by third parties. Nothing on this website constitutes an offer, inducement, or contract of insurance. Financial strength and size ratings can change and should be reevaluated before coverage is bound. This material is intended for licensed insurance agency use only. This is not intended for business owner or insured use. If you are not a licensed agent please disregard this communication. Outdoor Underwriters LLC supports a diverse workforce and is an Equal Opportunity Employer who does not discriminate against individuals on the basis of race, gender, color, religion, national origin, age, sexual orientation, gender identity, disability, veteran status or other classification protected by law. Drug Free Workplace.