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Tenant User
Applications & Printable Documents
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Fill your apps out online! After opening the appropriate .pdf document in Adobe Acrobat, simply place your cursor on the line you need to fill in and begin typing. Once you have completed the application, you may print the form out and fax it back to the number located on the application. If you have Adobe Acrobat Writer, you will be able to save the document to your computer and attach it to an email. If you do not have the software to open .pdf files, you can download Adobe Acrobat Reader for free.
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Individual Applications
Tenant User Liability Enrollment Form for $1,000,000 limit
1384 (11/19) Tenant User Liability Insurance Program
Please use this application for $1,000,000 limit option. Pre-reporting of events is required. (sports events are ineligible)
This brochure is valid for effective dates from 1/1/20 through 6/30/20.
Tenant User Liability Enrollment Form for $2,000,000 limit
1384 (11/19) Tenant User Liability Insurance Program
Please use this application for $2,000,000 limit option. Pre-reporting of events is required. (sports events are ineligible)
This brochure is valid for effective dates from 1/1/20 through 6/30/20.
Tenant User Liability Facility Underwriting Questionnaire
1621 (11/19) Tenant User Liability Insurance Program Facility Underwriting Questionnaire
This questionnaire is valid for effective dates from 1/1/20 through 6/30/20.
Tenant User Liability Enrollment Form for $1,000,000 Limit
1384 (05/20) Tenant User Liability Insurance Program
Please use this application for $1,000,000 limit option. Pre-reporting of events is required. (sports events are ineligible)
This brochure is valid for effective dates from 7/1/20 through 12/31/20.
Tenant User Liability Enrollment Form for $2,000,000 Limit
1384 (05/20) Tenant User Liability Insurance Program
Please use this application for $2,000,000 limit option. Pre-reporting of events is required. (sports events are ineligible)
This brochure is valid for effective dates from 7/1/20 through 12/31/20.
Tenant User Liability Facility Underwriting Questionnaire
1621 (05/20) Tenant User Liability Insurance Program Facility Underwriting Questionnaire
This questionnaire is valid for effective dates from 7/1/20 through 12/31/20.