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? *    
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 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, Inc. 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
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