Ballast Mutual
Underwriting Application
Please complete each section below. A progress indicator will show your completion status as you move through the application. Enter your work email and you may save and return at any time, on any device.
- 01Company Information
- 02Business Activities & Revenue Allocation
- 03Exposure Summary
- 04Historical Premium Summary
- 05Largest Customers
- 06Loss History (2021–2026; Present Year with 5-Year Lookback)
- 07Commercial General Liability
- 08Current Insurance Program & Desired Limits
- 09Professional Liability
- 10Pollution Liability
- 11Review & Submit
Business Activities may add short follow-up sections for the work you perform.