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ENTERTAINMENT PRO INSURANCE
   Motion Picture, Television, Theatrical, Music, Broadcasting and Special Events   
   
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Skip Navigation LinksHOME > APPLICATIONS > ONLINE FORMS > DECLARED PRODUCTION
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 SHORT TERM PRODUCTION OR ANNUAL PRODUCTION APPLICATION. THIS FORM IS TO DECLARE A PRODUCTION ONLY ON AN EXISTING POLICY AND MAY REQUIRE APPROVAL FROM THE INSURANCE COMPANY UNDERWRITER.
Welcome to Declared Production EZ-Report 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.
 
  CONTACT INFORMATION
Name of Company / Organization:
 
Entity Type ( Indiv, Corp. LLC, etc.):
Primary Address (No PO Box):
                City:
    State:
    Zip:
                    Mailing Address (If different to primary):
                City:
    State:
    Zip:
Contact Person:
Phone:
Fax:
E-mail Address:
 
    QUALIFICATIONS QUESTIONS
Any: Stunts, Pyrotechnics, Aircrafts, Boats, Animals, Race Tracks, Race Courses, Helicopters, Motorbikes, Snowmobiles, Blanks, Squibs, Guns, Rap Music?
If yes, check each exposure:
Stunts   Pyrotechnics  Aircrafts   Boats   Animals   Race Tracks  Race Courses   Helicopters   Motorbikes   Snowmobiles   Blanks   Squibs   Guns   Rap Music
Is coverage required outside of the U.S. and Canada?
Any Prior Production With Any Losses of Any Kind?
    PRODUCTION DETAILS
Type of Production:
Title of Production:
Budget (Gross Production Cost):
Brief Description / Synopsis of Shoot:
Cities & States of Shooting Locations:
Coverage Dates of the Production:
   FOR MUSIC VIDEOS ONLY 
Type of Music:
Music Decade:
Artist Name:
    
ADDITIONAL COMMENTS:  
   
    (You will get a summary page to review before submitting)