Ballast Mutual

Underwriting Application

Please complete each section below. A progress indicator will show your completion status as you move through the application. Enter your work email and you may save and return at any time, on any device.

1. 01Business Activities & Revenue Allocation
2. 02Company Information
3. 03Largest Customers
4. 04Five-Year Loss History
5. 05Commercial General Liability
6. 06Current Insurance Program & Desired Limits
7. 07Professional Liability
8. 08Pollution Liability
9. 09Review & Submit

Business Activities may add short follow-up sections for the work you perform.