Franchisee Application **All information you provide will be secure and will only be used for underwriting purposes** I am looking for:*-Select-Business InsuranceHealth InsuranceBoth Business and Health InsuranceName* First Last Phone*Email* Entity Type*-Select-IndividualCorporationLLCPartnershipNon-ProfitOtherName of Business:*Year Business Started:*Federal Employee ID#:Do you own multiple franchise locations?*YesNoFranchise Location Address:If yes, please upload a spreadsheet or list of your locations: Drop files here or Number of Employees (Full-Time/Part-Time):*Estimated Annual Revenue:*Estimated Annual Payroll:*Total Square Footage:*Has this entity had any insurance claims in the past 5 years?*YesNoIf yes, please upload loss run report: Drop files here or Do you need any of the following? Building Coverage Business Personal Property Tenants Improvement Betterment None of the Above I'm Not Sure Are there any vehicles titled to or owned by the business?*YesNoIf yes, please provide us with the following information - Year, Make, Model, VIN, and Cost New:What do you currently pay for insurance?