🍽️ Restaurant Insurance Application

Complete this form and we'll shop 30+ carriers to find the best coverage for your restaurant.

📞 (815) 691-1111
⚡ Same-Day Response
🔒 Secure Submission
🏢

Business Information

Basic details about the business and owner

🍳

Restaurant Operations

Tell us how the restaurant operates day-to-day

Services Offered
🏠

Property Information

Building details and safety systems

Cooking Exposure
Safety Systems
👥

Employees & Financial Information

Staffing and revenue details for accurate quoting

Additional Staff / Services
🛡️

Coverage Requested

Select all that apply — we'll advise on what you need

📋

Prior Insurance & Loss History

Current or previous coverage and any claims

Coverage Status
📎

Document Uploads

Optional — current policy, loss runs, photos, menu, or liquor license

📁 Drag and drop files here, or click to browse

PDF, JPG, PNG — up to 10MB each

Choose Files
💬

Additional Notes

Anything else we should know

Ready to submit?

Your application goes directly to Dave at Insurance Contractors LLC. Expect a same-day response during business hours.

Application Received!

Thanks — Dave will review your restaurant application and be in touch same business day. If you need to reach us sooner, call or text (815) 691-1111.