Builders Risk Online Form Builders Risk Online Form Applicant's Name Contact Phone Number Email Mailing Address Property Address (Insured property) Premises #2 (if insuring multiple buildings) General Contractor info Occupancy Type Commercial Residential Vacant Mixed-Use Total Sq. Ft. Construction Type Joisted Masonry Masonry Frame Construction Start Date Construction Completion Date Construction Scope of Work Renovation Structural Rehab New Construction Current Dec Page/Loss Run Report Submit If you are human, leave this field blank.
