Cannabis Operation Application

Cannabis Industry Operations Insurance Application

* Indicates required field

Legal Business Name *

Contact Name *

First

Last

Type of Business *

List your projected sales by category for the next 12 months

Cultivation Sales Projections *

Processing Sales Projections *

Medicinal Retail Sales Projections *

List Your Total Sales for last 12 Months *

Check All that Apply *

We have Multiple Locations We have Multiple Operations We are Currently Uninsured We've had prior losses or claims

Email *

Contact Phone *

If Other Type Business List Here *

Manufacturing Sales Projections *

Recreational Retail Sales Projections *

Laboratory & Testing Sales Projections *

New Ventures - Check All that apply *

New Venture Principals have required experience

Your Current Insurance - Choose All that apply *

Notes *

Submit