Insurance program administered by
franchisespecialtygroup@hiallc.com800.899.9810
PatchMaster Insurance Program · Secure Intake
Complete your insurance information
Submit your business information quickly and securely to begin the quoting, underwriting, or renewal process. Your answers go straight to the Hotchkiss program team.
Why we collect this information
Carriers price your policy on the specifics of your operation – revenue, payroll, headcount, vehicles, and loss history. Complete figures up front mean fewer follow-up emails, faster quotes, and terms that match how you actually run your business.
Helpful to have nearby
- Your current policy or declarations page
- Loss runs from the last five years
- A payroll summary
- Your vehicle list
How it works
- Complete the online questionnaire.
- Our team reviews your submission.
- An insurance representative contacts you regarding coverage options or renewal requirements.
This site uses HTTPS to protect information while it is being transmitted. Please use this form rather than ordinary email when sending requested information.
Insurance questionnaire
Please allow a few minutes to complete the form.
This submission is not an insurance policy and does not bind, alter, or extend coverage. Your policy is the contract that specifically and fully describes your coverage(s).
Need a hand with the questionnaire?
The Franchise Specialty Group can walk you through any question or take your information over the phone.
PatchMaster Insurance Program
Program administered by Hotchkiss Insurance. PatchMaster® is a registered trademark of PatchMaster Franchise, LLC. Each franchise office is independently owned and operated.
Program support
franchisespecialtygroup@hiallc.com
800.899.9810
Monday-Friday, 8am-5pm CT
patchmasterinsurance.com
Use the secure forms on this page rather than ordinary email for sensitive information.