Union Liability Questionnaire

Insurance Quote Information

Building and Property Insurance

Mailing Address (if different than physical address)

Street Address Address Line 2 City State ZIP

Policy Effective Date (not required)

Do you own or lease your Union office space?

Owned
Leased

Building Replacement Value (if building owned)

Union Property Replacement Value (these are the contents inside your office space owned by the Union)

Computer Equipment Replacement Value

Total Building Square Footage

Square Feet of your Office

Do you sublease any portion of your building?

Yes
No

Please provide details on your sublease

Value of Improvements & Betterments (if you are required by lease to insure)

Building Age

Utility/Roof Updates (year roof/utility was last updated)

Building Construction Material (brick, masonry, etc.)

Number of Stories of your Office Building

Sprinkler System

Yes
No

Burglar Alarm

Yes
No

Has there been any losses (claims) in the past 5 years?

Yes
No

Workers Compensation Insurance

8755: Labor Union All Officers Estimated Annual Payroll

8810: Clerical Office Employees Estimated Annual Payroll

Business Automobile Insurance

Does your Union own Vehicles?

Yes
No

Please Provide Year, Make, Model, and VIN for all Vehicles

Please Provide Name, DOB, Driver's License Number, and Garaging Zip Code (where car is parked overnight) for all Drivers

Please upload any current insurance policies the union has in-force

Max. file size: 32 MB.

Educational Videos

Union Resources

Forms

FAQs

File a Claim

Check Claim Status

Claims Survey

IBEW Local 9 Claims Story

IBEW Local 613 Claims Stories

Timing – The Jennie Stone Story

Peace of Mind – The Woodie Jessee Story

ARASA

BLET

BMWED

IBEW

Ironworkers

IUEC

IUOE

Plumbers

SMART-TD

Teamsters

ARASA

BLET

BMWED

IBEW

Ironworkers

IUEC

IUOE

Plumbers

SMART-TD

Teamsters

Our Services

Group Insurance

Risk Management

Websites

BLET

IBEW

IW

IUEC

IUOE

Teamsters

What We Do

Our Company

Data Security

Testimonials

COVID-19

Let’s see what insurance coverage(s) your union should have!

Claims History

Insurance Quote Information