Please complete the short application below to get a quote for your event coverage.

If your event has an overnight stay or camping, please fill out this form.

If your event will last more than 10 days, please fill out this form.

Vendors and exhibitors, please complete the application as it pertains to your operations only, not the entire event.

Brokers and agents, please start on the broker/agent page or login if you already have an account.

Steps

Insured Information

Please fill out the information below. Fields with * are Required

First name*

Last Name*

Email Address*

Confirm Email Address*

Address*

Address 2

City*

State*

Zip*

Phone*

Event Information

Please fill out the information below. Fields with * are Required

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Person or Entity having/hosting the event* (this should NOT be the venue/location requesting coverage)

You will be asked to provide information for Additional Insureds later in the purchase process.

Start Date of Event*

Actual Start Time of Event, DO NOT include setup time.

End Date of Event*

Actual End Time of Event, DO NOT include take down time.

Start Time of Event*

End Time of Event*

Name of Event*

Category*

Details of Event*

Event Website

Facility Name*

Facility Contact Name

Facility Contact Email

Street Address of Facility*

City of Facility*

State of Facility*

Only Events in U.S. States are Eligible for Coverage

Zip Code of Facility*

Facility Phone Number