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ENTERTAINMENT PRO INSURANCE
Motion Picture, Television, Theatrical, Music, Broadcasting and Special Events
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DECLARED EVENT
Step One:
Complete Form
Step Two:
Review and Submit
Step Three:
Finish
PLEASE DO NOT USE THIS FORM FOR NEW ACCOUNT SUBMISSION, PLEASE REFER TO THE SPECIAL EVENT APPLICATION. THIS FORM IS TO DECLARE AN EVENT ONLY ON AN EXISTING POLICY AND MAY REQUIRE APPROVAL FROM THE INSURANCE COMPANY UNDERWRITER.
Welcome to
Declared Event
EZ-Quote
from Entertainment Pro Insurance.
For fast service on your commercial accounts complete the form below and hit the “Step Two” button. Your submission will be electronically delivered to the next available Commercial Lines Underwriter.
BASIC INFORMATION
Client Name :
Date Declared:
Date of Event:
Load In & Load Out Dates:
Type of Event:
Name of Event:
Your Duties at this Event:
Contact Person:
Phone:
E-mail Address:
ADDITIONAL QUESTIONS
If Music / Genre Type:
Name of Artist/Band:
# of Tickets Printed:
Venue Capacity:
Expected Attendance:
Liquor at Event: Responsible for it?
Did you Sign Venue Contract?
Venue Name:
Venue Address:
Venue City/State/Zip:
ATTACH COPY OF VENUE CONTRACT
Additional Certificate Holders:
Certificate Address:
Certificate City/State/Zip:
What is their Relationship:
ADDITIONAL COMMENTS:
(You will get a summary page to review before submitting)