Campground & Resort Insurance Application Form

 

Has any Insurer declined, cancelled or refused to renew?

Do you live on site all year round?

Does anyone inspect the premises?

Mortgagees/Lienholders:

Property Information

Is the fire department...

Full TimeVolunteer

Are there fire hydrants?

YesNo

Is there a burglar alarm?

YesNo

Is there a fire alarm?

YesNo

Is there a deep fat fryer?

YesNo

Automatic extinguishing system?

YesNo

Claim History

If you have had any claims in the past 5 years, please list them below:

Date of Claim Description: