Contact - Dropdown • Cross Current Insurance

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Why are you contacting us?:

Please check out and submit our ONLINE GUIDE APPLICATION.
The answers to most guide questions can be found within the form.

Contact Info:*

First Name Last Name

Email*

Phone*

Business Name

State*

State

Do you currently have insurance?*

Who is your current carrier?*

What is your policies effective date?*

What date would you like coverage to start?*

What is your question(s)?

Do need to add Additional Guides on your policy? (W2 or 1099)

Yes

Additional Guide List*

W2s are employees and 1099s are contractors. (Use the + button to the right to add more fields.)

First & Last Name

Mailing Address

Date of Birth (mm/dd/yyyy)

Is this person W2 or a 1099?

Do need to add Additional Insureds on your policy?

Yes

Certificate Holders & Addresses*

You must include names and addresses for all Governmental and Non-Govermental Additional Insured(s) below. (Use the + button to the right to add more fields.)

Certificate Holder

Mailing Address

Is this addition "Govermental" or "Non-Govermental"

This type of Additional Insured is normally a fly shop, lodge, or private land owner that requests that they be added to your policy. Click the FAQ at the top of the page or email us at [email protected] for more info.

Do you need to add additional boats to your policy?*

Small crafts using a trolling motor as their only means of thrust are not considered motorized boats

Yes

Make and Model of each additional boat*

You MUST list each boat in separate rows and fill in all 5 description fields for each boat. (Use + button to the right to add additional boats & operator info.)

Year

Make

Model

Length (ft.)

Is the boat "Motorized" or "Non-Motorized"

Physical Damage Coverage Limit (only complete if coverage requested)

Do you need additional Property Coverage for Trailers, Gear, Rods, Tackle or Hunting Rifles & Shotguns?

Yes

Optional Property Coverage

The rate is $1.00 per $100 of current value. The deductible per claim is $1,000. Original sales receipts and/or current photos may be required to substantiate claim payments.

Property Coverage for Motorized Boats & their Trailers need to be insured separately and can not be covered by this policy. Email us at [email protected] to see if your boat is covered properly.

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Optional Property Coverage

The rate is $1.00 per $100 of current value. The deductible per claim is $1,000. Original sales receipts and/or current photos may be required to substantiate claim payments. Property Coverage for Motorized Boats & their Trailers need to be insured separately and can not be covered by this policy. Email us at [email protected] to see if your boat is covered properly.

Trailer(s)*

(Use the + button to the right to add more fields.)

Year

Make/Model

Serial #

Current Value

Equipment/Gear*

(Use the + button to the right to add more fields.)

Item

Current Value

When you are thinking about how to valuate this, consider what the total amount of gear that you could lose in one accident while guiding clients, rather than the total value of every piece of fishing equipment that you own. These values need to be based off of what you paid for the products (proforms) and not what they would be worth brand new at a store, and remember, there's a $1000 deductible for every property claim under this policy.

Do you have a change that does not fit one of the categories above?

Yes

Please explain your other change request.

How did you hear about Cross Current Insurance?*

How did you hear about CCIG - Pulldown*

Please enter which one?*

Add your referrer's full name:*

If it was a personal recommendation and you give us their name we will be able to thank them!

Tell us how you heard about Cross Current?*

Which one? Input Field*

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Thank you for your interest in Cross Current Insurance.

Optional Property Coverage

Optional Property Coverage

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