FICA National Furriers Block Insurance Program

Clark Insurance, in conjunction with Hanover Insurance and FICA - the Fur Information Council of America - are proud to offer the National Furriers Block Program, giving you the ability to better protect your business and increase your profits. This program provides financial strength and quality coverage designed to fit your unique business needs.

Please fill out this form completely and click SUBMIT when you are finished.  Our agent, Lee Ramsdell will contact you regarding your furrier application. 

You may also PRINT this form and mail it to Lee Ramsdell at our Portland Office. 

Business Information

Name:
Address:
City: State: Zip:
Contact Person:
Phone: Fax:

Type of Furrier

Retail %:
Wholesale %:
Storage %:

Your Insurance Information

Current Insurance Carrier:
Prior Claims in the Past 5 Years:

Inventory

I. Inventory Limit Desired (Y/N):
II. Limit (your furs) or Transit Coverage:
III. Limit of Coverage for Customers' Furs:
IV. Limit of Transit Coverage for Customers' Furs:

Any Additional Information

Please use this area for additional location and/or other pertinent information: