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Application Form

Business Equipment Insurance Quote


Equipment Cost:


Select Appropriate Hazard Category:

Low Hazard: (Equipment in this hazard group is of a non-mobile nature and is intended to be used within a fixed property location.)
Includes, but is not limited, to:  Electronic data processing equipment (not including Laptops), Hospital diagnostic equipment, Scientific equipment, Telephone and Communications equipment (including Digital switching equipment), Office equipment 

Ordinary Hazard (Equipment in this hazard group is of a non-mobile nature and intended to be used within a fixed property location.)
Includes, but is not limited, to:  Manufacturing production equipment, Institutional laundry and kitchen equipment, Editing and sound equipment, Photo development equipment, Printing equipment, Tanning beds, Automotive repair equipment, Fork trucks)

Medium Hazard (Equipment in this hazard group is of a mobile nature and is intended to be used at various locations.)
Includes, but is not limited, to:  Portable sound equipment, Portable office trailers, Tents, Temporary buildings, Camera equipment, Surveyor equipment, Agricultural machinery and equipment, Construction equipment (Back hoes, Power generators, Road-building equipment), Vending & video games


Type of Insurance:




Download PDF versions of forms necessary for the initiation of insurance on business equipment:

Leased Insurance Declaration Form

Automatic Funds Transfer Authorization Form





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