Tattoo & Body Piercing Liability Insurance
Same Day Quote & Issue

Call Toll Free 1-800-874-9191          Fax  480-452-0593         www.EQGroup.com

For no-obligation Tattoo / Body Piercing quote, please complete the following form

USE TAB KEY TO MOVE BETWEEN FIELDS

Business Name

Address
Address 2
City
State
Zip
Years Experience
Primary Contact
Contact Name
E-mail  
Business Phone -              (Area + Number)
Cell phone -              (Area + Number)
Website
Business Information
Liability Limit    Per Occurrence
Number of tattoo only artists  
Number of body piercing only artists  
Number Combination Tattoo & Body Piercing Artists  
Policy Options — in addition to general liability do you require? :
Business Property coverage needed?  

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

Please answer the following questions to determine if you qualify for this insurance policy
Any losses in past 3 years?
 
How did you hear about us?  
Comments or Special Instructions
Insurance Producer Name & Phone Number
Insurance Definitions