Applications

To apply for coverage, complete one of the following applications as it applies to your business. 

Architect, Engineer & Surveyor Professional Liability Applications

Architects & Engineers 

Land Surveyors: for firms providing professional land surveying services

Landscape Architects & Golf Course Designer  

Construction and Environmental Consultants

General & Artisan Contractors

Project-Specific Insurance Application

Supplemental Applications

  • Professional Liability Supplement. If you are asked to verify "no known claims," please also submit the Professional Liability Supplemental Application for architects & engineers coverage
    Word Template - PDF
  • Supplemental Additional Limit Endorsement (SALE) Quote Request
    PDF
  • Questionnaire for Instrumentation Control Engineers
    Word Template - PDF    
  • Supplemental Underwriter Billing Questionnaire
    Word Template - PDF
  • Network Protection for Design Professionals
    Word Template - PDF

Property/Casualty Applications 

  • Please use the ACORD Applications and the Property/Casualty Supplemental Application for architects, engineers and surveyors
    Word Template - PDF



Send completed application to:

Underwriting Contacts

Small firms

Vanessa Cole
(301) 951-5455
vanessa.cole@victorinsurance.com

Mid-size firms

Debra McKibben
(301) 951-5425
debra.mckibben@victorinsurance.com

Large firms

Duane Repko
(301) 961-9815
duane.repko@victorinsurance.com

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