Hendrickson Insurance · Sarasota, Florida

RV application.

For a motorhome, camper van, travel trailer, or fifth wheel garaged anywhere on the Gulf Coast. This helps us prepare a quote for the right recreational-vehicle policy with liability, physical damage, and full-timer options. Estimates are fine where you are not sure.

A. Applicant

First named insured *

Required.

Date of birth

Primary phone *

Required.

Email *

Enter a valid email.

Garaging address *

Required.

City

State

ZIP

Driver's license number

DL state

Years RV experience

C. Usage

Use

Recreational Full-time residence Seasonal

Estimated annual mileage

Months used per year

Storage location when not in use

Garaging ZIP

D. Coverage Requested

Bodily injury / property damage liability (motorized RVs)

Personal contents

Comprehensive deductible

Collision deductible

E. History & Prior Insurance

Current carrier

List date, type, amount

F. Acknowledgement

I certify that the information above is true and complete to the best of my knowledge. Submitting this form does not bind coverage; coverage is subject to underwriting approval and payment of premium.

Typed signature (full name) *

Required.

Date *

Required.

I agree to the statement above. *

Please confirm to submit.

Back

✓

Thank you — application received

Dennis will review it and follow up shortly with your quote. Questions? Call or text 941-952-7991.

That didn’t go through

Please try again, or call/text 941-952-7991 and we’ll take your details directly.

RV application.

A. Applicant

B. RV

C. Usage

D. Coverage Requested

E. History & Prior Insurance

F. Acknowledgement

Thank you — application received

That didn’t go through