VFW Post Insurance Program
Application For Coverage

Post Name
Contact
Phone  Fax 
Address 1
Address 2
City   County State    ZIP 

Do you own or lease your building?   Own  Lease

Desired Coverage Effective Date
Federal Tax ID #   Approximate Premium 
Building Value
Current Deductible
Age of Building
Construction Type
Square Footage You Occupy
Miles from Fire Dept / Hydrant
Contents Value
Current Deductible
Year of Last Mechanical Update
Number of Stories
Total Square Footage
Miles from Coast
Do you have restaurant / kitchen facilities? Yes
No
Annual Food Sales $'s
Do you have a bar / canteen? Yes
No
Open to public? Yes
No
Annual Liquor Sales
Current Membership Auxiliary Membership
Does your Post engage in any of the following? (Check all that apply)

Turkey shoots
Fireworks displays
Carnivals
Have any lakes
Parades
Ball fields
Swimming pools
Does the Post offer bingo? Yes
No
Open to public? Yes
No
Is liquor sold during bingo? Yes
No
Does the Post have any employees? Yes
No
If so, what is the annual payroll?
Does the Post own any autos? Yes
No
If so, please describe

Describe any losses in the last four years including date of loss

By submitting your application, we can provide you with a competitive quote.  You are under no obligation to join the program.

Click here to return to Main Page