Therapy Dog Handler Liability Application
Calculate Your Annual Premium

Basic Liability Rate:
For one handler and one dog.
Your Basic Liability Rate:

**Additional Insureds consist of hospitals, building owners, apartment complexes, parks, municipalities or other entities where you may work, requesting to be listed under your policy.


$25.00 Policy Fee/Taxes:

Total Annual Premium:

Policy Holder Information
Types Of Therapy Work

Primary Physical Address:
Mailing Address (If different than primary address)
Dog Information (1)
Certification/Registration: Please send proof of certification/registration from Alliance of Therapy Dogs, Pet Partners or other approved organization for each dog listed. The registration must include the dog's name, breed, and certification expiration date. You can choose to email it to us at, fax it to us at 919-537-0750 or mail it to Business Insurers of the Carolinas, PO Box 2536, Chapel Hill, NC 27515. We will not be able to process your application until we have a copy of this certificate.
Payment Information


Minimum earned policy premium of 25% applies to this policy. By clicking the "Submit" Button you are acknowledging that you agree to be charged a total premium and the policy fee of $25.00.

*This application does NOT constitute a binder.
*Required fields:

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