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About You or Your Business

Name*

First Last

Business Name or DBA

If you do not have a business name, just write "none"

Address*

Street Address Address Line 2 City State ZIP Code

Email*

Enter Email Confirm Email

Phone Number - including area code*

Website

Business Structure

Business Location

We ask this questions because different insurance carriers have different rules regarding the location of your business. It helps us find the right type of policy.

Information to Get Your Quote

If you are a groomer, simply choose groomer, but if you offer other services, such as a kennel or pet sitting, choose those options under Type of business #2 and #3

Type of Business #1*

Choose the types that represent your business (you may choose more than one) by selecting another on the next drop down. Please choose AT LEAST ONE business type. You can choose OTHER, if you cannot find yours here.

What are your estimated gross receipts from this part of your business?

You can estimate. If you are a new business, please write your estimate, because to obtain most quotes, an amount must inputted.

Other Business Type - please describe your operations

Tell us about your business (check all that apply)

I groomer at home
I rent a space as a groomer
I am a mobile groomer
I am an indepedent groomers at someone else's salon
I also run a kennel as part of my business
I am also an animal trainer (cats, dogs, birds)
I have a prior claim

Describe your Business - if you need to provide more information

Please tell us what services you perform, OTHER THAN those listed in the drop down boxes above, if any. Use this space if you needed to tell us more information.

What type of Insurance are you seeking?

Package #1 - Both General and Pet Groomer Professional Liability
Package #2 - Both General/Pet Groomer Professional Liability / Animal Bailee or Animal Floater, and coverage for tools
General Liability Only
Pet Groomer Professional Liability (E and O) Only
Commercial Auto Insurance Only (you can add commercial auto insurance below)

Are you looking for any other types of insurance?

What year did your business start?*

What is your annual payroll?

You can write "none" if you have no employees

Do you have any prior claims?

Tell us About your Prior Claim

TAX ID / FEIN / Social

To quote workers compensation insurance, we need your Tax ID, FEIN, or Social if you are a sole proprietorship.

Property Insurance Section

In this section, you can choose how much coverage you want for your equipment, a building, glass, or other items.

Do you own the building where you work?

How much coverage ($) do you want for the building?

Enter an amount in this box. The underwriter will still require that your amount of coverage meet a minimum rebuilding cost per square foot. We will contact you with more information. (This question appears because you said that you own the building where you work)

How much coverage ($) for your business personal property?*

This may include your furniture, grooming equipment, inventory, printers, file cabinets, etc.

How much coverage ($) do you want for tenant improvements?

This includes upgrades to flooring, the walls, fixtures, and other upgrades.

How much coverage ($) for computers and laptops?

What Year was the building that you are in built? (Estimate OK)

Do you want coverage for any specific items? Tell us about them and include the value.

If you know the year, make, and model of your equipment, please provide it. We will contact you for more information, if needed. Example: 1 tractor, 2005 model, $25000 value.

Commercial Auto Section

Driver #1 - Provide the name and birthdate of at least 1 driver

Driving Record for Driver #1

Vehicle #1 - Year, make, and model (if you have the VIN, include it)

Vehicle #1 - how much is it worth? (not including permanently attached equipment)

Vehicle #1 - how much coverage do you want for permanently attached equipment

Examples: a dog grooming truck may have a vacuum permanently mounted; a food truck may have cooking equipment mounted to the truck.

Do you need to add more drivers or vehicles?

Yes
No

Tell us about the other drivers and/or vehicles. Please provide the name, birthdate, and marital status of each driver. Provide the year/make/model and value of each vehicle. If you know the VINs, please provide them.

If there is something special that you want to tell us, please do so here.

Do you have any of the following at the location where you work? *Discounts* may apply

Alarm System - active that calls the police or monitoring service
Fire Sprinklers that cover 100% of the building
Fire Sprinklers that cover less than 100% of the building
Active Video Surveillance Cameras
Security Guard that watches the location

The Last Questions

Do you want to sign up for our small business newsletter?

Are you a member of the Pet Groomer Association?

If not, you can join at www.clubmembers.net/groomers