If you do not have a business name, just write "none"

Please tell us what services you perform and what type of animals are involved. Use this space if you needed to tell us more information.

To quote workers compensation insurance, we need your Tax ID, FEIN, or Social if you are a sole proprietorship.

You could tell us the number of cages you have, or the maximum number of dogs (or other animals) you could have onsite at one time.

Enter an amount in this box. The underwriter will still require that your amount of coverage meet a minimum rebuilding cost per square foot. We will contact you with more information. (This question appears because you said that you own the building where you work)

This includes upgrades to flooring, the walls, fixtures, and other upgrades.

Signs are expensive to replace, so let us know the value or your signed mounted to the building or that's not connected.

If you know the year, make, and model of your equipment, please provide it. We will contact you for more information, if needed. Example: 1 tractor, 2005 model, $25000 value.

Examples: a dog grooming truck may have a vacuum permanently mounted; a food truck may have cooking equipment mounted to the truck.

If there is something special that you want to tell us, please do so here.