General liability

Generally intended to respond to third-party injury and property damage claims arising from your operations.

Abuse & molestation

A coverage many childcare programs are required to carry; evaluated as part of this application.

Property & more

Building, contents, and related coverages can be considered alongside your liability program.

Who this is for

Licensed childcare centers, preschools, Montessori and learning programs, faith-based daycares, and home-based providers all generally need liability coverage tailored to caring for children. Many states and many landlords or licensing bodies may require general liability and abuse & molestation coverage before a program can operate. This application gathers the details a carrier reviews so a licensed insurance professional can work toward an accurate quote.

Start your application

Most questions use sliders and toggles — it takes just a few minutes.

Who is filling out this form?

Slide to choose. Agents are asked for a few extra details.

Applicant information

Legal name of childcare facility / applicant

Street address

City

State

ZIP

Years in operation0 yrs

050+

Do you operate any other entities or DBAs?*

Is there common ownership across locations?*

Current general liability coverage

Do you currently carry general liability insurance?*

Licensing

State license / registration number

Licensing state

Licensed capacity (children)0 children

0300+

Average number of children per day0 children

0300+

Any critical licensing violations in the past 3 years?*

Has the license ever been suspended or revoked?*

Management practices

Hours of operation

Is there a written no-smoking policy on premises?*

Are no-smoking signs posted?*

Do you carry student accident coverage?*

Has any professional staff been disciplined or had a license action?*

Does the director / lead staff complete annual training?*

Do you employ anyone under 18?*

Do you use volunteers?*

Medication administered on premises

Prescription medicationOver-the-counter medicationNo medication administered

Staff & children by age group

Enter the number of children and supervising staff in each group you serve.

Age group	# Children	Female staff	Male staff
Infants (0–12 mo)
Toddlers (1–2 yr)
Preschool (3–5 yr)
School-age (6–12 yr)
Teens (13+)

Children with special needs served0 children

0100+

Premises (primary location)

Location street address

City

State

ZIP

Leased or owned?

Building type

Wiring (yr)

Plumbing (yr)

Roofing (yr)

HVAC (yr)

Additional locations (if any)

Is there a playground on premises?*

Is CCTV / video monitoring in use?*

Has a lead-paint inspection been done (older buildings)?*

Have there been recent renovations?*

Do all classrooms have exits directly to the outside?*

Are exits clearly marked?*

Is there a written evacuation plan with regular drills?*

Is there a swimming pool or water feature on premises?*

Abuse & molestation prevention

Is there a written abuse & molestation prevention plan?*

Is a 'rule of two' (no adult alone with a child) enforced?*

Are staff trained on mandatory reporting?*

Is abuse-prevention training provided to all staff?*

Are background checks run on everyone with child access?*

Is there a controlled pick-up / drop-off system?*

Do classroom doors have windows / visibility?*

Are volunteers screened and supervised like staff?*

Is corporal punishment prohibited in writing?*

Are you aware of any prior abuse allegation or claim?*

Authorized representative

First name

Last name

Title

I represent that the information provided is true and complete to the best of my knowledge, and I understand it will be used to evaluate this application. This is an application for a quote only and does not bind, alter, or guarantee coverage. By submitting, I agree to be contacted by SMS and/or email about this request. Standard message rates may apply. Reply STOP to opt out. See our Terms, Privacy Policy, and Disclaimer.

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Childcare facility application