Large Landowner or Group Application

Please fill out the online application below or
click here to download a PDF application that can be mailed or faxed.
If you have any questions, problems, or concerns
please contact Outdoor Underwriters at 1-866-961-4101.

Landowner Information

Name of Landowner*		Email Address*
Representative*		Main Number*
Mailing Address*		Mobile
		Fax
City*
State*		How did you find us?*
Zip*		Please describe

Desired Effective Date*
Premises Posted or Fenced?*
County & State of Acres
Number of Acres*

Present Carrier
Expiration Date
Losses in the Past Five Years

Coverage

Limits to be quoted for*

$300,000/$600,000
$500,000/$1,000,000
$1,000,000/$2,000,000
Higher

Optional - Damage to rented premises (fire damage coverage)

$25,000 Per Occurrence
$50,000 Annual Aggregate
$1,000 Deductible

Optional - Premises medical payments coverage

$1,000 Per Person
$10,000 Per Occurrence

Hunt Clubs Information

Number of Clubs*

A listing of hunting clubs with contact, address, location by county and state, and number of acres is required if converage is bound.
How would you like to add hunt club information?*

Input Multiple Hunt Clubs
Upload File(s)
Send Documents by Fax or Email

Hunt Club Name*		Main Number*
Representative*		Fax
Address*		Email

City*
State*
Zip*		Number of Acres Leased*

Add Another Hunt Club

Send in a list of Hunt Clubs by email to [email protected] or by fax to 803-451-5695.

After you click "Submit Application", your application for a quote will be sent to Outdoor Underwriters, LLC and we will contact you with more information about the Policy and what your Premium will be.

Payments are accepted over the phone via Visa, MasterCard, or by Check/Money Order in the mail.

Submit Application