Recreational Lease Liability Application
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 |
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Name of Landowner* | Email Address* | ||
Representative* | Main Number* | ||
Mailing Address* | Mobile | ||
Fax | |||
City* | |||
State* | How did you find us?* | ||
Zip* | Please describe | ||
Club Information |
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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?* |
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Present Carrier | |||
Expiration Date | |||
Losses in the Past Five Years |
Approximate Number of Trails* | |
Average Length of Trails* |
Are trails maintained by club? | * | ||
Are trails maintained by landowner? | * | ||
Are ATV's leased or rented? | * | ||
Are locations fenced or posted? | * | ||
Any leased hunting or commercial hunting? | * | ||
Are certificates of insurance required for any leased or commercial hunting? |
* | ||
Any watercraft or docks? | * | ||
Any buildings? | * | ||
Any lakes or ponds? | * | ||
Any dams, spillways, or bridges? | * | ||
Any property used for mining? | * | ||
Any property containing gas or oil wells? | * | ||
Any of the property leased for farming? | * |
Hold Harmless Agreement
Attach or mail a copy of Hold Harmless agreement with club member signatures and listing of all club members.*
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
Payments are accepted over the phone via Visa, MasterCard, or by Check/Money Order in the mail.
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