Video & Production Insurance Application

* Name of Applicant

Name of Business

The Applicant is

An Individual

A Sole Proprietor

An LLC

A Partnership

A Corporation

Other...

* Email

* Phone

* Premises Street Address

* Premises City

Premises Zip Code

Website

Social Media

Facebook

Instagram

Vimeo

Pintrest

X (Twitter)

No Social

Other...

Operations

Photography

Cinematography / DP

Video Production

Audio Production

Artist Management / Rep Services

Still Photo Production

Post Production

Web Services

Prop Stylist

Advertising or Marketing

Studio Rental

Other...

Does any of your work involve

UAV’s & Drones

Underwater

Music Videos

Stunts

Racing

Paparazzi

Adult Content

Planes or Helicopters

Feature Film

Pyrotechnics

None of the above

* Do you rent autos(production vehicles, vans, motor homes, grip trucks)?

Yes

No

* Do you rent your camera equipment or your studio to others?

Yes

No

* Years under current business name

* Previous experience within your industry

* Brief description of your business

* Do you hire crew members or have employees?

Yes

No

* Do you work outside of the US?

Yes

No

* Do you have another business?

Yes

No

* Have you ever had a business insurance claim?

Yes

No

* Do you have insurance now?

Yes

No

* Estimated Gross Production Costs

* Average number of jobs per month

* Average cost per job

* Max cost per job

I have answered the above questions truthfully and to the best of my knowledge. I understand that any intentional misrepresentation or fraudulent information used to purchase this insurance may result in declination, cancelation, or denial of my insurance coverage

I Agree

Comments

* Is it okay to send documents to you via email?

Yes

No

* How did you hear about TCP?

Video Insurance Application