Professional Liability Application

Use our application:
To apply for coverage, please click on the PDF application below and fill it out on line. You can save your partially completed application to your computer to complete at a later time. Then print it and either fax it to us at 970-225-6596 or email it to us at Davew@frig.net.  You can also click on "Tools" in the PDF document and email it directly.

Professional Liability Application PDF

You can also mail it to:
Front Range Insurance Group, LLC
P.O. Box 270550
Fort Collins, CO 80527

Use your application:
You can email or fax your application to Davew@frig.net or Fax it to 970-225-6596.

It can also be mailed to the address above. Only one application is needed for us to quote multiple carriers. There will be on occasion a company specific application required to bind coverage. Once we receive your application, one of our team members will contact you.