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 Annual Event Declaration Instructions

  1. Complete this online application to quote an event on your annual event policy.

  2. Complete this application to declare as many events as needed.

  3. An event is NOT covered unless declared to the policy prior to the event taking place.  


Program Information

This is a secure application.  Strong cryptography is implemented via the Secure Sockets Layer protocol.  Our Privacy Policy.

PDF Application (Fillable)


( indicates required information)

Applicant Information

Name of Organization, Individual or Company:
Full Name of Contact:

Policy or Quote Number:

For Existing Clients


Event Details

Event Category:

Detailed Event Description:

Event Name:

Required if live music or a concert event.

Music Category:

If Any

Hold Ctrl to select multiple categories.



Setup Date(s):


If Any

The period before the event to arrange.

Attendees will not be present during the setup.

Select up to 7 days at no additional premium.

Event Date(s):



The duration the actual event will take place (not including setup and teardown).

Attendees will be present during the actual event.

Tear Down Date(s):


If Any

The period to dismantle after the event.

Attendees will not be present during tear down.

Select up to 7 days at no additional premium.

Total Number of Days:


Venue Details

Location Where Event Takes Place

Venue Name:
City, State: ,
Venue Capacity:
Event Location:


Spectators & Participants ?

Average Daily Spectators:
Average Daily Participants:

Athletic / Theatrical Participants







Terms and Conditions

Please carefully review the Terms and Conditions below:

  • Please read all exclusions indicated on quotation.

  • The quotation received is not binding on the Insurer in any way.

  • An event is NOT covered unless declared to the policy prior to the event taking place.

  • By clicking 'Submit Event Declaration' you are not agreeing to purchase coverage.  Via email, you will receive a free, no-obligation insurance quotation.

  • Any person who knowingly and with intent to defraud any insurance company or another person files an application for insurance containing any materially false information, or conceals for the purpose of misleading information concerning any fact material thereto, commits a fraudulent insurance act, which is a crime and subjects the person to criminal and (NY: substantial) civil penalties. (Not applicable in CO, HI, NE, OH, OK, OR, VT). In DC, LA, ME, TN and VA, insurance benefits may also be denied.
  • Please note that once coverage is bound, the policy cannot be cancelled.

  • The insurance quotation will be based solely on the coverages and limits selected on this application.

  • Please ask your Supple-Merrill & Driscoll, Inc. representative to explain coverage details, exclusions, limits or other provisions of any insurance policy.

Type your name below, to indicate that you have read

and accepted the Terms and Conditions above:





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