AMUSEMENT CENTER INSURANCE APPLICATION INSTRUCTIONS
Follow the steps 1–3 below and then when you have completed steps 1–3 come back to this page and complete the final step "4".
COMPLETE, SAVE & UPLOAD THE APPLICATION USING THE "UPLOAD APPLICATION" INFO BELOW
First, complete the Amusement Centers Games & Entertainment Product Application Supplement. It will open in a new browser tab so you can return here after saving it.
After completing the supplement, save the completed file to your computer. Then return to this page and upload it in Step 4.
Workers Comp: Should the applicant want Workers Compensation coverage as well, that information can be input on the bottom of the last page of the PDF supplement.
CLICK HERE FIRST OPEN APPLICATION CLICK ➡NO LOSS STATEMENT
If the amusement center has never experienced any claims, or if this is for a new business, complete a No Loss Statement. You do not need to email it to us. Once submitted, it will automatically notify the Kelly Insurance Group team.
CURRENT LOSS RUNS
If you currently have insurance coverage, we will need copies of your current carrier loss runs. Click the button to view what loss runs are, how to request them, and copy a ready-made email to send to your current carrier or agent.
WHAT ARE LOSS RUNS?
Official reports from your current or prior carrier documenting all claims — open and closed — losses, and payments during your policy period. Carriers typically provide 3–5 years. Any new carrier will require these before quoting.
HOW TO REQUEST
- Contact your current agent, broker, or carrier.
- Ask for "loss runs" covering the past 3–5 years, in PDF format.
- Request each policy type: GL, Property, Liquor, Workers Comp, Umbrella.
- Turnaround is usually 3–10 business days.
EMAIL TEMPLATE
Subject: Loss Run Request — [Your Business Name] Hello, I am requesting copies of the loss runs for my commercial insurance policies for the past five years for an insurance quote review. Please include all active or recently expired coverages: - General Liability - Property - Liquor Liability (if applicable) - Workers Compensation (if applicable) - Umbrella / Excess (if applicable) Please send them in PDF format at your earliest convenience. Thank you, [Your Name] [Your Business Name] [Your Contact Info]
UPLOAD YOUR COMPLETED APPLICATION
Upload your completed application supplement PDF, your No Loss Statement or current loss runs, and any supporting documentation using the intake form below.
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Disclaimer: Coverage availability and eligibility may depend on underwriting review, carrier guidelines, policy terms, state requirements, business operations, risk characteristics, and other information provided during the application or quoting process. Kelly Insurance Group cannot guarantee that every individual, customer, organization, or business seeking coverage will qualify for, receive, or successfully place insurance coverage. All policy coverages, exclusions, conditions, limits, endorsements, and terms should be carefully reviewed by the consumer, insured, or applicant to confirm that the coverage requested is the coverage being quoted, offered, or provided. Insurance coverage, policy changes, endorsements, cancellations, and other policy terms are not bound, changed, confirmed, or altered unless and until written confirmation is provided by a licensed Kelly Insurance Group team member, the applicable insurance carrier, or an authorized underwriter. This page is provided for general informational purposes only and does not provide legal advice, legal opinions, insurance coverage opinions, or policy interpretations.