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Home > General Liability Form

General Liability Insurance Quote

Fill out the following form as completely as possible. Once you have completed the form, click the Submit button to send your information. Your request will be handled promptly.

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Personal Information

Business Information

Do you sell any Private Label merchandise? *


If no, do you anticipate selling any Private Label merchandise in the next 12 months?


Do you repackage or relabel items? *


Any claims in the past 5 years, potential future claims or product recalls. *


Do you have an certifications from having your products tested to meet U.S. Safety Requirements? *


Any changes or new products, goods or services in the next 12 months? *


Is your business registered in the USA? *


Do you sell on any platforms or marketplaces outside of the USA and Canada? Mexico, EU, UK, AU, etc.*


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