Timberland 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 |
|||
| Name of Landowner* | Email Address* | ||
| Representative* | Main Number* | ||
| Mailing Address* | Mobile | ||
| Fax | |||
| City* | |||
| State* | How did you find us?* | ||
| Zip* | Please describe | ||
| Desired Effective Date* | |||
| Location of Acres | |||
| Number of Acres* | |||
| What is this property used for? | |||
| Present Carrier | |||
| Expiration Date | |||
| Premium | |||
| Past Losses | |||
| 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? | * |
Payments are accepted over the phone via Visa, MasterCard, or by Check/Money Order in the mail.
