Back to site
Step 1 of 5 — Your Business
20%
✅
Quote Request Received!
A Terrapin business insurance specialist will contact you within one business day.
Questions? Call us at
240-243-0042
🔒 Secure Business Insurance Quote - Intake Form
🏢
About Your Business
Tell us about your company so we can find the right coverage.
Business Name *
Owner / Contact Name *
Email Address *
Phone Number *
Business Address *
State(s) of Operation *
MD Only
DC Only
VA Only
Multiple
Business Start Date
FEIN #
Next: Business Details →
📋
Business Details
Help us understand your operations so we can match you to the right carriers.
Industry / Type of Business *
Select an industry
Retail / Storefront
Restaurant / Food Service
Professional Services (Consulting, Accounting, Legal, etc.)
Contractor / Construction / Trades
Healthcare / Medical
Technology / IT Services
Real Estate / Property Management
Transportation / Trucking / Delivery
Cleaning / Janitorial Services
Personal Services (Salon, Spa, Fitness, etc.)
Non-Profit / Religious Organization
Manufacturing / Wholesale
Home-Based Business
Other
Business Description
Business Structure
Sole Proprietor
LLC
Corporation
Partnership
# of Full-Time Employees (excluding owner)
Estimated Annual Revenue
Estimated Annual Payroll
Do you own or lease your business location?
Own
Lease
Home-Based
No Fixed Location
← Back
Next: Coverage →
🛡️
Coverage Needs
Select all coverage types you're interested in — we'll find the best package for your business.
Which coverage types do you need? (Select all that apply)
General Liability
Business Owner's Policy (BOP)
Workers' Compensation
Commercial Auto
Professional Liability (E&O)
Cyber Liability
Commercial Property
Umbrella / Excess
Directors & Officers
Not sure — advise me
Do you have vehicles used for business?
Yes
No
Do employees handle customer property or work on-site at customer locations?
Yes
No
Do you hold professional licenses or certifications?
Yes
No
Desired General Liability Limit
Select if applicable
$300,000
$500,000
$1,000,000 / $2,000,000 (most common)
$2,000,000 / $4,000,000
Not sure — please advise
← Back
Next: Current Coverage →
📁
Current Coverage & History
Information about your existing coverage helps us find better rates.
Do you currently have business insurance?
Yes
No — new business
No — lapsed
Current Insurance Carrier (if any)
Current Annual Premium (if known)
Policy Expiration Date (if applicable)
Any business-related claims in the past 5 years?
No claims
1 claim
2 claims
3+ claims
Have you ever had a policy cancelled or non-renewed?
No
Yes
← Back
Next →
✅
Final Details
Almost done! Add any additional context and submit your quote request.
Best time to reach you
Morning
Afternoon
Evening
Anytime
Preferred Contact Method
Email
Phone Call
Text Message
How did you hear about us?
Have your current policy or ID handy?
Snap a photo or upload a PDF of your current declarations page, ID card, or driver's license and we'll pull the details from it. Optional.
Additional Comments or Questions
← Back
Submit Quote Request →
🚗
Commercial Auto Details
Please provide vehicle and driver information for your commercial auto quote.
VIN Number(s)
Driver's License Number(s) of All Drivers
Radius of Work Performed
Select radius
0 to 10 miles
30 to 50 miles
50 to 100 miles
100 to 200 miles
200+ miles
← Back
Next →
👷
Workers' Compensation Details
We need a few more details for your workers' compensation quote.
Owners / Members excluded from WC?
Yes
No
← Back
Next →
🏗️
Commercial Property Details
Please provide details about the property to be covered.
Age of Roof
How Many Tenants?
Year Last Replaced
Electrical
Heating
Plumbing
What is the building used for?
← Back
Next: Final Details →
Shell out less.
Back to site