Phone: (972) 235-3030
Toll-Free: (866) 900-RISK

Your Specialists

Brett Byland, ARM - EXT 110
byland@riskpro.us

Lauren Morris - EXT 120
lauren@riskpro.us


About 15 mins to complete application.
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PLEASE BE AWARE, in order for us to provide an accurate quote, ALL QUESTIONS must be answered. If you are unsure, please answer to the best of your knowledge.

Name of Inspector(s) (Company Name if applicable):
Individual
Corporation
LLC
Other:

Street:
City
State
Zip

Telphone
E-Mail

  1. Requested Effective Date:
    Requested Coverages:
    E&O Only
    GL Only
    Both GL & E&O
  2. Years experience in home inspections and/or related professions?
  3. Year you started your home inspection business?
  4. Limits of Liability Requested:
    $100,000/$100,000
    $250,000/$250,000
    $500,000/$500,000

    $1,000,000/$1,000,000
    Other:
  5. Deductible Requested:
    $1,000
    $2,500
    $5,000
    Other:
  6. Total number of:
    Employed Home Inspectors:
    FT PT
    Independent Contractors:
    FT PT
  7. If you use independent contractors who do not carry their own E&O insurance, would you like them to be covered under your company's policy?
    Yes
    No
  8. Gross Annual Revenue:
    Last 12 months: $
    Next 12 months: $
  9. Number of estimated annual inspections:
    Average Fee: $
  10. What was the largest fee for an individual inspection job ever done? $
  11. What type of inspection was it?
  12. Do you take pictures during your inspection?
    Yes
    No
  13. Do you take pictures 100% of the time?
    Yes
    No
    N/A
  14. Do you take pictures of:
    Everything
    Problem Areas Only
    N/A
  15. What type of reports do you use? [check ALL that apply]
    Narrative
    Checklist
    Verbal
    Computer Program - Name of Software:
  16. What inspection standards are used?
  17. Which, if any, professional home inspection organizations are you affiliated with (Please include member number)?
  18. Explain if you are engaged in any other business or employed by any other business or organization?
  19. Type of buildings Inspected:
    % Residential
    % Commercial
  20. Type of clients Inspected for:
    % Individual purchaser
    % Mortgage lenders
    % Other:
  21. Type of Inspections (check all that apply):
    Standard Visual Inspection (structural/mechanical)
    Carbon Monoxide
    Code
    EIFS/Stucco
    Infrared Camera
    Lead
    Mold
    Pools/Spas
    Radon
    Rodents
    Septic/On-site Sewage
    Wind Mitigation
    Wood Destroying Inspects/Pest
    Other:
  22. Drone Insurance?
    Yes
    No

    Make:
    Model:
    Value:


    Are you licensed?
    Yes
    No
  23. Do you currently use an inspection agreement/contract when performing a home inspection?
    Yes
    No
  24. If yes, is the inspection agreement signed in advance by your customer?
    Yes
    No
    N/A
  25. Do all inspectors working for your company attend continuing educations classes?
    Yes
    No
  26. Are you a builder, contractor or repair/remodeling contractor?
    Yes
    No
  27. If yes, do you provide any of these services to the same properties that you inspect?
    Yes
    No
    N/A
  28. Within the past five (5) years, have any claims (including violation of fair housing laws) been made against your firm or anyone indicated in question 1?
    Yes
    No
  29. Are you aware of any act, error, omission or other circumstances which might reasonably be expected to be the basis of a claim or suit against you or anyone indicated in question 1?
    Yes
    No
  30. Do you currently have Professional Liability insurance?
    Yes
    No
  31. Carrier:
    Limits of Liability:
    Deductible:
    Premium:
    Policy Period:
    Retroactive Date:


    (Your retroactive date can be found on your current policy's declarations page. This date is necessary in order to provide you with an accurate quote.)

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    Are there any questions, comments or additional coverage required?


    I/We hereby declare that the above statements and declarations are true and that I/We have not suppressed or misstated any material facts. I/We agree that any misrepresentation or misstatement of material facts may void coverage under this insurance. I/We agree that this application shall be the basis of the contract with the company and that coverage, if written, will be provided on a claims made basis. It is understood and agreed that completion of this application does not bind the company to provide coverage or the applicant to purchase the insurance.

    Check here to agree to the above statement:


    Name:
    Title:
    Date:

    All information provided is confidential and will be used soley to obtain an indication for coverage. Coverage cannot be bound from this information sheet.




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