Utilize our One-Step Online Quote Request Forms to get a pricing indication for your insurance need.



BEAUTY & SALON QUOTE
Please fully complete the following data form, and simply click the "Submit" button and we will contact you with an insurance quotation.

Please note we cannot accept binders or policy changes by email, only by phone during normal working hours.



BEAUTY SALON INSURANCE

First Name:
Last Name:
Business Name:
Mailing Address:
Mailing City:
Mailing State:
Mailing Zip Code:
Phone Number:
Fax Number:
E-Mail Address:
Who Referred You To Our Site?

PROPERTY ADDRESS (if different)
 

Property Address:

 

Property City:
Property State:
Property Zip Code:

UNDERWRITING INFORMATION
 

Please Describe the Exact Nature of Your Business

 

Type of Ownership:  
Number of Owners:
Number of Full Time Operators:
Number of Part Time Operators:
Number of Stations:
Annual Payroll of Owners:
Annual Payroll of Employees:
Total Annual Gross Receipts:
Salon Location:  
Total Square Footage of the Building Your Business Is In:
Square Footage Of Your Business Only:
Business License Number:
License Type:
Years of Experience:
How Many Years Have You Operated This Business:
How Many Stories Is The Building:
Construction Type:  
Roof Type:  
Roof Updated: yes no  
If Yes, Estimated Year Roof was Updated:
Protection Distance:
Is The Business In A Brush Area? yes  no  
Is This Business Open 24 Hours A Day? yes  no  
Is There Storage More Than 1500 Sq Ft? yes  no  
Are There Smoke Detectors At This Location? yes no  
Smoke Alarm: yes no
Fire Extinguisher: yes no  
Deadbolts On All Doors? yes no
Circuit Breakers: yes no
Electrical Updated:
Heating - Air Conditioning, Thermostatically Controlled?: yes no 
Heating - Air Conditioning, Central? yes no 
Plumbing Updated: yes no
If Yes, Estimated Year Plumbing was Updated:
Interior Automatic Fire Sprinklers: 
Theft Alarm:
Fire Alarm:

SALON SERVICES
 

Any Deep Frying (Food)?

 

yes  no  

Do Electrolysis Services? yes  no  
Do Hair Removal by Electronic Tweezer Services? yes  no  
Do Chiropody or Podiatry Services? yes  no  
Do Wart or Mole Removal Services? yes  no  
Do Reducing, Slendering or Exercising Services? yes  no  
Do Tanning Services? yes  no  
Do Skin Treatments or Facial Services? yes  no  
Do Electric or Steam Baths or Sauna Services? yes  no  
Do Hair Implants or Transplant Services? yes  no  
Do Hair Weaving Services? yes  no  
Do Ear Piercing Services? yes  no  
Do Bodywaxing Services? yes  no  
Do Bodywrapping Services? yes  no  
Do Nail Sculpturing Services? yes  no  
Do Tattoo Services? yes  no  
Do Permanent Make-up Services? yes  no  
Do Hair Straightening Services? yes  no  
If Yes, Chemical Base of the Relaxer:  
Is There Any Manufacturing, Mixing, Re-Labeling or Repackaging of Products?

yes  no  

COVERAGE INFORMATION
 

Building Coverage:

 

Other Structures Coverage:
Business Contents Coverage:
Loss of Use Coverage:
Liability Limits Requested:
Policy Deductible:

MISC INFORMATION
 

Losses-Claims in the last 5 years: 

 

 

If yes, date, amount paid and description of each loss-claim
Current Insurance Company:
Expiration Date:
Current Premium $:
Questions or Comments
to help the Agent:
Please press the Submit Button ONCE.
Then wait for online confirmation of your request.
Thank you for your interest.




17821 E 17th St, Suite 100, Tustin, CA 92780 :: LICENSE #0543173