Photography & Videography Insurance
Same Day Quote & Issue

Call Toll Free 1-800-874-9191          Fax  480-452-0593   

For no-obligation Photography insurance quote, please complete the following form
 

Insured Name

Address 1
Address 2
City
State
Zip
Entity Type
Name & Title of Principals
Years Experience
Primary Contact
Contact Name
E-mail  
Business Phone -                 
Fax -          
Other phone -           
Business Information
Desired Policy Effective Date?
Start
Liability Limit    Per Occurrence
Number of full time employees  
Number of part time employees  
Estimated Gross Annual Revenue $  
Type of Work performed
Policy Options — in addition to general liability do you require :
a. Additional Insureds added to policy?  
b. Hired & Non-owned auto liability?
c. Third-party property damage coverage?
d. Miscellaneous equipment coverage?

$    <- if yes, enter total replacement value
Underwriting Questions

Please answer the following questions to determine if you qualify for this insurance policy
1. Underwriting Questions
a. Do you use subcontractors?
b. Do you rent or lease your equipment to others?
g. Any losses in past 3 years?
How did you hear about us?  
Comments or Special Instructions
AFIG Producer - Please enter Name & Number
Insurance Definitions