Auto Insurance Quote

TATTOO & BODY PIERCING INSURANCE APPLICATION


Fill out the following form as completely as possible. Once you have completed the form, click the Submit button to send your information. Your request will be handled promptly.

Tatoo and Body Piercing Insurance
Call Rob at 602-459-0425
Insured Name
Required
Address
Required
Address 2
Optional
City
Required
Zip Code
Required
Entity Type
Required
Name & Title of Principals
Required
Entity Type
Required
Years Experience
Required
Primary Contact
Contact Name
Required
E-mail
Required
Business Phone
Required
Cell Phone
Optional
Fax
Optional
Website
Optional
Business Information
Desired Policy Effective Date
Required
/ /
Liability Limit
Required
Number of Tatoo Only Artists
Required
Number of Body Piercing Only Artists
Required
Number of Combination Tattoo & Body Piercing Artists
Required
Policy Options - In addition to general liability do you require?
Additional Insureds Added to Policy
Optional
Miscellaneous Equipment Coverage
Optional
If yes, Total Replacement Value $
Optional
General Underwriting Questions
Please answer the following questions to determine if you qualify for this insurance policy
GQ1. Are you in compliance with all city, county & state ordinances?
Required
GQ2. Do you use a release / client information for every client?
Required
GQ3. Any losses in past 3 years?
Required
Body Piercing Questions
BP1. Have you had formal training in body piercing?
Required
BP2. Do you use an aftercare form?
Required
BP3. Do you need body piercing coverage for minors?
Required
How Did You Hear About US?
How Did You Hear About US?
Required
Comments
Special Instructions
Optional
Submission Validation
Required
CAPTCHA
Change the CAPTCHA codeSpeak the CAPTCHA code
 
Enter the Validation Code from above.
Important Notice
Any submissions or payments made via this website do not constitute a binding agreement to your policy or coverages. Changes and payments to policies are not effective or binding until you, or any party involved, receive official notice from either your insurance agent, or your insurance company. If you have any questions, please feel free to contact us.

Per the terms of our online privacy policy we will not resell your information to any third-party.