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Therapy Dog Handler Liability Application
 
 
Calculate Your Annual Premium


Basic Liability Rate:
For one handler and one dog.
Your Basic Liability Rate:
$175.00

**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.



Subtotal:

$25.00 Policy Fee/Taxes:
$25.00

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 certificates@business-insurers.com, 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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