Processing...
Home
Customer Service
FAQ
Contact Us
Login/Register
First time users must register in order to save their Quotes & Applications:
Register here
E-mail
Password
Forgot password?
Caption
Error
Get Quote / Buy Online
Select a Program
Activity & Social Clubs
Bands & Performing Groups
Concessionaires, Exhibitors & Vendors
Dance Instructors
Dance Schools & Programs
Entertainers & Performers
Exercise/Personal Training Studio
Fitness Instructors
Health Clubs – Limited Services
Martial Arts Schools & Programs
Outfitters and Guides Insurance
Short Term Special Events
Sports Camps & Clinics
Sports Instructors
Teams & Leagues
Tournaments & Events
Walk/Run Events
Yoga Instructors
Youth Day Camps
DisplayTitle
Welcome to Summit America
Phone
1-800-955-1991
Fax
1-913-327-0201
Claims
1-800-237-2917
ProgramLinks
Ask us a Question/E-mail
Online Claim Form
*fields are mandatory
This is for notice/record only: (
what's this?
)
Yes
Preparer
*
Title:
Mr.
Mrs.
Ms.
Dr.
*
First name:
*
Last name:
Company name (if applicable):
Address:
City:
State:
Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
-----------
Mexico
Canada
Zip:
*
Phone number:
Type:
Mobile
Home
Work
Office
Phone number:
Type:
Mobile
Home
Work
Office
Phone number:
Type:
Mobile
Home
Work
Office
*
E-mail:
Insured Information
Same as preparer information
*
Title:
Mr.
Mrs.
Ms.
Dr.
*
First name:
*
Last name:
Company/organization/club name
(if applicable):
*
Address:
*
City:
*
State:
Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
-----------
Mexico
Canada
Zip:
*
Phone number:
Type:
Mobile
Home
Work
Office
Phone number:
Type:
Mobile
Home
Work
Office
Phone number:
Type:
Mobile
Home
Work
Office
E-mail:
Agent Information
Same as preparer information
Agency name:
Contact first name:
Contact last name:
Address:
City:
State:
Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
-----------
Mexico
Canada
Zip:
Phone number:
Type:
Mobile
Home
Work
Office
Phone number:
Type:
Mobile
Home
Work
Office
Phone number:
Type:
Mobile
Home
Work
Office
E-mail:
Loss Information
*
Describe the loss and what happened. Include any injuries or property damaged or stolen.
*
Date of loss:
Policy number:
Loss Location
Same as insured address
*Street address (no PO box):
*City:
*State:
Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
-----------
Mexico
Canada
Zip:
Additional Information
Details/comments:
Please complete captcha question
Caption
Error
Glossary
|
FAQ
|
Site Map
Copyright 2010. Powered by K&K Insurance Group, Inc.
Privacy and Legal Notice
|
Refund Policy
K&K Insurance Group, Inc. is a licensed insurance producer in all states (FL license #L007299, TX license #13924);
operating in CA, NY and MI as K&K Insurance Agency (CA License #0334819)
FATCA Notice: Please click
http://www.aon.com/FATCA
to obtain the appropriate W-9.
K&K Insurance Group is a wholly owned subsidiary of Aon
Do Not Sell My Data