Submit this form to your insurance provider via email, fax, or physical mail. Include all the required documentation and ensure all fields are completed. Contact your insurance provider for specific submission addresses or online submission options.

Important dates for submitting this insurance application form in 2024 and 2025 will depend on your specific insurance provider's requirements. Be sure to review any deadlines provided by your insurer.

The purpose of this form is to apply for insurance coverage for clothing stores, ensuring both property and liability protection. This comprehensive form gathers essential information about your business operations, property details, and loss history. Completing this form accurately will help secure the necessary insurance coverage to safeguard your business assets and operations.

• 1. Applicant's name: The full legal name of the applicant including DBA (Doing Business As) name if applicable.
• 2. Mailing address: The official mailing address where correspondence should be sent.
• 3. Form of business: The type of business entity (e.g., Individual, Corporation, Partnership, LLC) and related contact details.
• 4. Property Section: Details about the property to be insured, including construction type, protection class, and requested coverage.
• 5. Liability Section: Information about the liability coverage required, including coverage limits and basis for exposure.
• 6. Loss Information: A record of any losses or claims made in the past three years, including dates and descriptions.
• 7. Additional Property Information: Further details about the property, including updates or renovations and types of alarms in place.
• 8. Eligibility Criteria: Eligibility requirements that must be met to qualify for coverage, such as lack of bankruptcies and specific safety measures.
• 9. Fraud Statements: Legal statements about the consequences of providing false information, specific to various states.

Failing to submit this form could result in your business not receiving the needed insurance coverage. This can leave your business unprotected against potential property damage or liability claims.

• Lack of Coverage: Without submitting the form, your business won't be insured, leaving it vulnerable to risks.
• Financial Risk: Potential losses and liabilities may not be covered, leading to significant financial setbacks.

• 1. New Policy Application: Submit this form when applying for a new insurance policy for your clothing store.
• 2. Annual Renewal: Use this form during the renewal process to update information and maintain coverage.
• 3. Policy Changes: Submit the form to make changes to an existing policy, such as adjusting coverage limits.
• 4. Loss Documentation: Provide details of any losses in the past three years to document your claim history.
• 5. Eligibility Confirmation: Confirm that your business meets the eligibility criteria for insurance coverage.