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Tattoo &
Body Piercing Liability Insurance
Same Day Quote & Issue |
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Call
Toll Free 1-800-874-9191
Fax
480-452-0593
www.EQGroup.com |
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For no-obligation
Tattoo / Body Piercing quote, please complete
the following form
USE TAB KEY
TO MOVE BETWEEN FIELDS |
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Business Name |
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| Address
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| Address 2 |
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| City |
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| State |
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| Zip |
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| Entity Type |
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| Name &
Title of Principals |
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| Years Experience |
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Primary
Contact |
| Contact Name |
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| E-mail |
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Business Phone |
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(Area + Number) |
| Fax |
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(Area + Number) |
| Cell phone |
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(Area + Number) |
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Website |
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Business Information |
| Desired
Policy Effective Date? |
| Start |
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Liability Limit |
Per Occurrence |
| Number
of tattoo only artists |
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| Number
of body piercing only artists |
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| Number
of combined Tattoo & Body Piercing Artists |
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Policy Options
— in addition to general
liability do you require? : |
| Additional Insureds added to policy? |
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| Miscellaneous equipment coverage? |
$ <- if yes, enter total
replacement value |
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General Underwriting Questions |
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| GQ1.
Are you in compliance with all city, county & state
ordinances? |
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| GQ2. Do
you use a release / client information for every client? |
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| GQ3. Any
losses in past 3 years? |
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Body Piercing Questions |
| BP1.
Have you had formal training in body piercing? |
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| BP2. Do
you use an aftercare form? |
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| BP3. Do
you need body piercing coverage for minors? |
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How did you hear about us? |
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Comments or Special
Instructions |
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| Producer Name &
Phone Number |
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Insurance Definitions |