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Amateur Sports- Teams, Leagues & Associations
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1-800-426-2889
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1-260-459-5105
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1-800-237-2917
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! 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
Certificate of Insurance Request Form
1457 (3/24) Amateur Sports Certificate of Insurance Request Form
Supplemental Request Form - Amateur Sports Teams, Leagues and Associations
1407 (3/24) Amateur Sports Teams, Leagues and Associations Supplemental Request Form
RPG Inland Marine Quote Request Form
1458 (3/24) RPG Inland Marine Quote Request Form for Amateur Sports
Sexual Misconduct Liability Coverage Request Supplemental Questionnaire
2312 (3/24) Sexual Misconduct Liability Coverage Request Supplemental Questionnaire
Amateur Sports Adult Soccer Teams, Leagues and Associations Supplemental Request Form
1750 (3/24) Amateur Sports Teams, Leagues & Associations Adult Soccer Supplemental Request Form
Amateur Sports Teams, Leagues and Associations Insurance Program and Enrollment Form
1047 (2/24) Amateur Sports Teams, Leagues and Associations Insurance Program and Enrollment form $1,000,000 CGL Limit Option
This brochure is valid for effective dates from 3/1/2024 through 2/28/2025
Amateur Sports Teams, Leagues and Associations Insurance Program and Enrollment Form
1047 (2/24) Amateur Sports Teams, Leagues and Associations Insurance Program and Enrollment form $2,000,000 CGL Limit Option
This brochure is valid for effective dates from 3/1/2024 through 2/28/2025
Amateur Sports Adult Soccer Teams, Leagues, Clubs and Associations Insurance Program and Enrollment Form
1744 (2/24) Amateur Sports Adult Soccer Teams, Leagues, Clubs and/or Associations Insurance Program and Enrollment Form
Effective 3/1/2024 through 2/28/2025
Directors and Officers Including Employment Practices Liability Insurance
1281 (1/24) Amateur Sports Directors & Officers including Employment Practices Liability Insurance for Not-For-Profit Entities.
This brochure is valid for effective dates from 3/1/2024 through 2/28/2025.
Amateur Sports Adult Soccer Teams, Leagues and Associations Optional Coverages Supp Request
1751 (10/23) Amateur Sports Adult Soccer Teams, Leagues & Associations Optional Coverages Supplemental Request Form
Optional Coverage Request Form - Hosted Tournament or Premises Liability
1397 (10/23) Optional Coverage Request Form - Please use this form to add Hosted Tournament Coverage or Premises Liability
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