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Dance Schools & Programs
Applications & Printable Documents
Phone
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1-800-648-6406
Fax
FaxNumber
1-260-459-5940
Claims
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1-800-237-2917
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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
RPG Inland Marine Quote Request Form for Facilities
1453 (2/22) RPG Inland Marine Quote Request Form for Facilities
Certificate of Insurance Request Form
2270 (3/22) Facility Certificate of Insurance Request Form
Dance School Insurance Enrollment Form
1017 (2/25) Dance School & Programs Insurance Enrollment Form
This brochure is valid for effective dates of 1/1/2025 through 12/31/2025.
Dance Schools and Programs Supplemental Request Form
1596 (3/21) Dance 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.
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