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 [email protected] 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