Timberland 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

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?	*	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

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