BandsPerformers-Applications-Printable-Documents - Borden Perlman Insurance Agency Inc

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

Solo Entertainers and Performers Liability Enrollment Form

1365 (2/23) Entertainers & Performers Liability Insurance Program and Enrollment Form
Effective dates from 4/1/2023 through 3/31/2024

Bands and Performing Groups

1625 (2/23) Bands & Performing Groups Insurance Program and Enrollment Form
This program has been designed for U.S. based performing groups who work on an independent contractor basis entertaining at events and performances.
Effective dates from 4/1/2023 through 3/31/2024

Bands and Performing Groups Insurance Program and Enrollment Form

1625 (1/24) Bands & Performing Groups Insurance Program and Enrollment Form
This program has been designed for U.S. based performing groups who work on an independent contractor basis entertaining at events and performances.
Effective dates from 4/1/2024 through 3/31/2025