FIREARM BUSINESS INSURANCE INTAKE FORM

FIREARM BUSINESS INSURANCE
APPLICATION INSTRUCTIONS

This form is for FFL dealers, firearm retailers, gunsmiths, and firearm manufacturers. Follow all steps that apply to your operation before uploading in the final step.

COVERED OPERATIONS: This application covers retail firearm stores, FFL dealers, firearm importers and distributors, gunsmiths, and firearm manufacturers. If your business involves gunsmithing or manufacturing, additional documentation is required — see Steps 4 and 5 before submitting.
1

COMPLETE, SAVE & PREPARE YOUR APPLICATION SUPPLEMENT

Open the Firearm Business Operations Supplement below. It will open in a new browser tab so you can return to this page. Complete all sections that apply to your business operation.

Save the completed PDF to your device. You will upload it along with all required supporting documents in the final step.

OPEN FIRST — COMPLETE & SAVE OPEN APPLICATION SUPPLEMENT OPEN
WHAT THIS SUPPLEMENT COVERS
  • Business operations & FFL details
  • Retail store & premises information
  • Firearm inventory & property values
  • Gunsmithing operations & services
  • Manufacturing scope & product details
  • Security measures & safe storage
  • Prior claims & loss history
  • General liability & products liability
  • Workers Compensation (last page)
2

NO LOSS STATEMENT

If your firearm business has never experienced any claims, or if this is a new business, complete a No Loss Statement. You do not need to email it to us — once submitted, it automatically notifies the Kelly Insurance Group team.

NO PRIOR CLAIMS? COMPLETE NO LOSS STATEMENT OPEN
3

CURRENT LOSS RUNS

If your business currently has insurance coverage, we need copies of your carrier loss runs for the past 3–5 years. Click the button to view instructions and copy a ready-made email to request them from your current agent or carrier.

WHAT ARE LOSS RUNS?

Official claim history reports issued by your current or prior insurance carrier, documenting all open and closed claims, losses, and payments during your policy period. Carriers typically provide 3–5 years of history. Any new carrier will require these before issuing a quote.

HOW TO REQUEST THEM

  1. Contact your current agent, broker, or carrier directly.
  2. Request “loss runs” for the past 3–5 policy years in PDF format.
  3. Request for each policy type: GL, Property, Products Liability, Umbrella, and Workers Comp if applicable.
  4. Standard turnaround is 3–10 business days.
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 / Products Liability
- Property / Contents
- Umbrella / Excess (if applicable)
- Workers Compensation (if applicable)

Please send them in PDF format at your earliest convenience.

Thank you,
[Your Name]
[Your Business Name]
[Your Contact Info]

Once received, upload your loss runs along with your completed application and all other required documents in the final step below.

4

MANUFACTURING & GUNSMITHING — REQUIRED DOCUMENTS

Does your business involve any manufacturing or gunsmithing operations? If so, additional documentation is required before your submission can be underwritten. Click to see exactly what you’ll need to prepare.

APPLIES TO MANUFACTURERS & GUNSMITHS ONLY

If your business involves any manufacturing or gunsmithing operations, you must prepare and upload all of the items listed below before your submission can be underwritten. These documents are required by the carrier — incomplete submissions will cause delays.

DETAILED WRITTEN NARRATIVE

A complete written description of all products you manufacture or gunsmithing services you perform. Include scope of work, materials, processes, and any specialized or custom operations.

PRODUCT LITERATURE & BROCHURES

Any marketing materials, product catalogs, or technical specification sheets describing your manufactured products or services offered.

SAMPLE PACKAGING, INSTRUCTIONS & WARNINGS

Samples or copies of product packaging, user instructions, and all safety warnings included with your products as sold or delivered to customers.

CURRENT PRICE LISTS

Your current price list for all manufactured products or gunsmithing services. This helps underwriters evaluate product exposure and establish appropriate coverage limits.

Have all of these items ready as digital files (PDF, image, or document) before proceeding to the upload step.

5

PREPARE ALL LICENSES FOR UPLOAD

All applicable licenses must be uploaded with your application. Have digital copies (PDF or image) of each of the following ready before proceeding to the final step:

📜
FEDERAL FIREARMS LICENSE (FFL)

Your current ATF-issued FFL. All FFL types accepted — Type 01 dealer, Type 07 manufacturer, Type 08 importer, Type 09 dealer in destructive devices, and others.

🏛
STATE FIREARM DEALER & BUSINESS LICENSES

All state-level licenses required to operate your firearm business, including state dealer permits, business entity registrations, and any state-issued manufacturing or gunsmithing licenses.

🏢
LOCAL & MUNICIPAL LICENSES

Any county, city, or municipal business licenses, zoning permits, or local firearms dealer permits required by your jurisdiction to operate at your location.

⚠ IMPORTANT: Expired licenses will delay your submission. Ensure all uploaded licenses are current and valid at the time of submission.
6

UPLOAD YOUR COMPLETED APPLICATION & ALL REQUIRED DOCUMENTS

Use the intake form below to upload your completed application supplement along with all required supporting documents. Upload everything in a single submission — your completed PDF, loss runs or No Loss Statement, all licenses, and (if applicable) your manufacturing narrative and product literature.

UPLOAD CHECKLIST — INCLUDE ALL THAT APPLY
Completed Firearm Business Operations Supplement (PDF)
No Loss Statement or current loss runs (3–5 years)
Federal Firearms License (FFL) — current copy
All state and local firearm & business licenses
Manufacturing/gunsmithing narrative (if applicable)
Product literature, brochures, packaging & price lists (if applicable)

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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.