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Forest Landowners Insurance Program
P.O. Box 410679 | Kansas City, MO 64141
Toll-free: (800) 658-7047 | Fax: (913) 652-7599
ForestLandowners@locktonaffinity.com

Please complete the information below and our sales representative will contact you.

FLA Member Number
Member's Name
Address
City
State
Zip Code
Phone Number
Fax Number
Number of Acres you own
Number of Clubs you Lease Land To
Are you interested in Vacant Land coverage?
Yes No

Do you currently have insurance for
Hunt Lease or Vacant Land?

Yes No
If Yes, what is the renewal date?
Person who handles insurance decision
Contact's Phone #
Best time to contact
Email
How Did You Hear About Us?
Questions or Comments:

 
 
 
Insurance Program Administered by Lockton Risk Services