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Farm & Ag Insurance Application

Help us understand your operation. Whether you run cattle, grow crops, or manage a working ranch - we will build the right program.

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Operation
2
Coverages
3
Details
4
Review
Primary Contact
Best number to reach you. Used for text updates and callbacks.
Farm / Ranch Details

Individuals without FEIN can skip

The more detail you provide, the faster we can build the right program

Mailing Address

Where Grit should send insurance documents, invoices, and certificates. This may differ from the farm location address(es) you will enter on Step 3.

Owners / Principals

List all owners and their spouses. DOB is required for carrier background checks.

Owner 1
Owner 2
Owner 3
Owner 4
Farm / Ranch Locations

List all farm and ranch locations. Include acreage and distance to fire protection for each.

Location 1
Location 2
Location 3
Location 4
Location 5
Current / Prior Insurance
Loss History (Last 5 Years)
Loss 1
Loss 2
Loss 3
Loss 4
Loss 5
Mortgagee / Loss Payee
Mortgagee / Loss Payee 1
Mortgagee / Loss Payee 2
Mortgagee / Loss Payee 3
Select Coverages Needed

Check all coverage types that apply to your operation. We will ask for details on each one in the next step.

Not sure what you need? That is what we are here for. Select what you know and we will help identify gaps during our review. Or call us at (801) 505-5500.
Coverage Details

Complete the sections below for each coverage you selected. Only the coverages you checked will appear here.

Farm Dwelling

Furniture, appliances, clothing, personal items inside the dwelling

Farm Structures

List all barns, outbuildings, grain bins, silos, shops, and other farm structures. Each structure is classified by type for valuation.

Structure Type Guide:
Type 1 - Fully enclosed, conventional/steel frame, excellent condition (100% ACV)
Type 2 - 3-sided, pole frame, hay storage, masonry silos (80% ACV)
Type 3 - Portable, fabric-covered, fences, light poles (50% ACV)
Structure 1
Structure 2
Structure 3
Structure 4
Structure 5
Structure 6
Structure 7
Structure 8
Structure 9
Structure 10
Farm Equipment / Machinery
Note: Combines and irrigation equipment must be scheduled separately even with blanket coverage per most carrier requirements.
Equipment 1
Equipment 2
Equipment 3
Equipment 4
Equipment 5
Equipment 6
Equipment 7
Equipment 8
Equipment 9
Equipment 10
Equipment 11
Equipment 12
Equipment 13
Equipment 14
Equipment 15
Livestock

List each species group. Animals valued over $2,000 per head must be individually scheduled under Livestock Mortality.

Livestock Group 1
Livestock Group 2
Livestock Group 3
Livestock Group 4
Livestock Group 5
Livestock Group 6
Livestock Group 7
Livestock Group 8
Hay, Grain & Farm Products
Product 1

Required for hay coverage

Product 2

Required for hay coverage

Product 3

Required for hay coverage

Product 4

Required for hay coverage

Product 5

Required for hay coverage

Product 6

Required for hay coverage

Farm Liability
Underwriting Questions
Farm Auto / Trucks
Vehicles
Vehicle 1
Vehicle 2
Vehicle 3
Vehicle 4
Vehicle 5
Vehicle 6
Vehicle 7
Vehicle 8
Vehicle 9
Vehicle 10
Drivers
Driver 1
Driver 2
Driver 3
Driver 4
Driver 5
Driver 6
Driver 7
Driver 8
Driver 9
Driver 10
ATV / UTV / Watercraft
Off-Road Unit 1
Off-Road Unit 2
Off-Road Unit 3
Off-Road Unit 4
Off-Road Unit 5
Watercraft 1
Watercraft 2
Watercraft 3
Workers Compensation
H-2A Workers Require Workers Comp. Federal law requires workers compensation coverage for any farm employing H-2A visa workers, regardless of state agricultural exemptions. We will make sure you are properly covered.

1.00 is baseline. Leave blank if unknown.

Payroll Breakdown by Class

List each employee class / class code with annual payroll. Leave blank if you only have a single class - we will handle classification with the carrier.

Class 1
Class 2
Class 3
Class 4
Class 5
Class 6
Class 7
Class 8
Crop / Hail Insurance
Federal crop insurance (MPCI) requires an RMA-approved agent. Grit can help with supplemental crop-hail coverage that works alongside your MPCI policy.
Crop 1
Crop 2
Crop 3
Crop 4
Crop 5
Livestock Mortality

For individually scheduled high-value animals ($2,000+ per head).

Animal 1
Animal 2
Animal 3
Animal 4
Animal 5
Animal 6
Animal 7
Animal 8
Animal 9
Animal 10
Pollution / Environmental Liability
Fuel Storage Tanks
Tank 1
Tank 2
Tank 3
Tank 4
Tank 5
Agritourism Liability
Hunting / Outfitting Liability
Custom Farming (Work for Others)
Umbrella / Excess Liability
Equipment Breakdown
Farm Income / Business Interruption
Policy Documents

For any coverage you have today, check the box and upload your current dec page. We can pull most of what we need from it.

Schedules & Loss History

Have a schedule on file? Skip the manual entry on Step 3 and upload it here instead. Required uploads appear after you check the matching box on Step 3.

Additional Documents

Anything else that helps us quote - equipment schedules, loss runs, livestock records, structure photos, or any other supporting documents.

Drag files here or click to browse
PDF, DOC, XLS, JPG, PNG - max 25MB each

    Additional Information
    Review Summary
    Authorization

    Completion of this application does not constitute the purchase of insurance. No coverage may be added, changed, or bound as a result of submitting this form. All coverage must be confirmed by the agency in writing subject to an acceptable signed application meeting the underwriting guidelines of the insurance company.

    Application Received

    Your farm and ag insurance application has been submitted to the Grit team.

    We will review your information and be in touch within one business day.

    Questions? Call (801) 505-5500

    gritinsurance.com | (801) 505-5500 | Salt Lake City, UT | Park City, UT | Challis, ID