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MartialArts Insurance


Phone	PhoneNumber 1-800-648-6406
Fax	FaxNumber 1-260-459-5940
Claims	ClaimsNumber 1-800-237-2917

Martial Arts Schools & Programs

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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.

	Individual Applications

Martial Arts Schools & Programs Insurance Enrollment Form

1020 (06/17) Martial Arts Schools Insurance and Enrollment Form
This brochure is valid for effective dates from 1/1/17 through 12/31/17.

Martial Arts Schools & Programs Supplemental Request Form

1601 (11/16) Martial Arts Schools & Programs Supplemental Request Form
Use this form if you need to add additional coverage, add additional participants to existing coverage or need to request additional certificates.

Martial Arts Schools & Programs Hosted Tournament Supplemental Request Form

1598 (12/15) Martial Arts Schools & Programs Hosted Tournament Supplemental Request Form
Hosted Tournaments are those you organize and operate that include participants who are not

active members of your organization or school. Hosted Tournaments must be 7 days or less in length.

Martial Arts/Self Defense Instructor

1610 (10/16) Martial Arts/Self Defense Instructor Insurance Program and Enrollment Form
This brochure is valid for effective dates from 1/1/17 through 12/31/17.

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Need Assistance, Please Call 1-800-648-6406

K&K Insurance Group, Inc. (K&K) is a licensed insurance producer in all states.
In Arkansas, K&K operates under license #240898. In California, K&K operates under the DBA K&K Insurance Agency, Inc., 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