Wedding Consultation Form

Consultation Coverage

WEDDING PROTECTOR PLAN®

To obtain a quote, simply fill out this form by answering a few questions about your wedding. Your agent will work with you to find the coverage level that is just right for you.

Events that have any of the following activities are not eligible for our program: rides, mechanical devices, inflatable recreational devices, dunk tanks, bungee operations/equipment, petting zoos, live animals, water sports, fireworks, pyrotechnics (including sparklers) or flammable sky lanterns.

Honoree 1

Honoree 2

Email *Please fill the required field.

When is your wedding?

How many guests?

Do you want to add liability coverage? (optional) - Many reception venues require couples to carry liability insurance. Liability coverage can protect you in case of lawsuits resulting from injury to a wedding guest and/or damage to property.

No, I do not wish to have liability coverage

$1,000,000 liability with $25,000 property damage

$1,000,000 liability with $250,000 property damage

$1,000,000 liability with $1,000,000 property damage

$1M/$2M aggregate liability with $25,000 property damage

$1M/$2M aggregate liability with $250,000 property damage

$1M/$2M aggregate liability with $1,000,000 property damage

Do you want to add on-site liquor liability coverage? (requires liability coverage)

Yes

Liquor liability coverage is designed to protect you and your immediate family against alcohol-related accidents. For example, if an accident is caused by an intoxicated guest at the event site, you could be held liable for that guest. Choose the number of guests:

1 - 50

51 - 100

101 - 150

151 - 200

201 - 250

251 - 300

301 - 350

351 - 400

401+

Policyholder information (person buying the policy)

Ceremony venue information - When completing venue addresses, please use physical address, no P.O. boxes.

Indoor

Outdoor

Both

List as additional insured?

Yes

Reception venue information - Check here if reception information is same as ceremony.

Yes, it is the same

Indoor

Outdoor

Both

List as additional insured?

Yes

Rehearsal venue information - Check here if rehearsal information is same as ceremony.

Yes, it is the same

If your rehearsal is scheduled no more than 48 hours before your wedding, it can be included at no additional charge.

Indoor

Outdoor

Both

List as additional insured?

Yes

Rehearsal dinner venue information - If your rehearsal dinner is scheduled no more than 48 hours before your wedding, it can be included at no additional charge.

Indoor

Outdoor

Both

List as additional insured?

Yes

Are you using a wedding planner/coordinator?

Yes

If yes, Name:

Any other information?

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

Are You Human: 3 + 4 = ?

travelers.com

The Travelers Indemnity Company and its property casualty affiliates. One Tower Square, Hartford, CT 06183

This material is for informational purposes only. All statements herein are subject to the provisions, exclusions and conditions of the applicable policy. For an actual description of all coverages, terms and conditions, refer to the insurance policy. Coverages are subject to individual insureds meeting our underwriting qualifications and to state availability.

You are not applying for insurance when you complete this worksheet. In order to apply for the Wedding Protector Plan, you should work with your agent to complete an online application.

© 2016 The Travelers Indemnity Company. All rights reserved. Travelers and the Travelers Umbrella logo are registered trademarks of The Travelers Indemnity Company in the U.S. and other countries. PL-13708-E Rev. 10-16

Consultation Coverage

To obtain a quote, simply fill out this form by answering a few questions about your wedding. Your agent will work with you to find the coverage level that is just right for you.

Important Links

Stay Connected

Client Services

Contact Us

Consultation Coverage

To obtain a quote, simply fill out this form by answering a few questions about your wedding. Your agent will work with you to find the coverage level that is just right for you.

Important Links

Stay Connected