TIS Online : Inspection Request

Request for Commercial Lines Inspection...

TIS's services can now be ordered online. Complete the following form and click on the submit button. We will email or telephone your inspection confirmation within one business day.

Your Name:
Firm:
Telephone:
Email Address:
Broker/Agency:
Telephone:
Date Due:
Assured:
Policy Number:
County:
Location:
Nature of Business or Operations:
Inspection Contact:
Telephone:

Photo Required? Yes No
Request is: New Renewal Recommendation Check

Multiple Peril
CPP

Section 1 - Bldg. $

Cts. $

Section 2 - Liab. $

Property
Check all that apply:

Building: $

Bus. Int.: $

Contents: $

Stock: $

Fur. & Fix.: $

Ext. Cov.: $

V & M.M.: $

Spr. Leak: $

All Risk: $

Plate Glass: $

Kitchen Supplement Automatically included when applicable.

Liability
Check all that apply:
Worker's Compensation
Premises & Operations
Including Auto
Elevator Data
Products
Liquor Liability

Crime
Check all that apply:

Employee Dishonesty: $

Robbery Mon. & Sec.: $

Burglary: $

Theft: $

Inland Marine: $

Describe Coverage:

Garment, Transit, Cargo, Bailee, Furrier, Jewelers, etc.

Additional Instructions/Special Coverages: