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: