Yes! You can use AI to fill out Amateur Sports / Activities Accident Insurance Quote Request Form (Philadelphia Insurance Companies)
The Amateur Sports / Activities Accident Insurance Quote Request Form is an insurance intake document used by Philadelphia Insurance Companies to gather organization details, requested effective date, current accident coverage status, and estimated participant counts by sport/activity and age group. Insurers use this information to evaluate exposure and prepare pricing and coverage terms for accident insurance. The form also includes fraud warnings and an applicant acknowledgement requiring an authorized signature, plus agent contact information for submission. Today, this form can be filled out quickly and accurately using AI-powered services like Instafill.ai, which can also convert non-fillable PDF versions into interactive fillable forms.
Our AI automatically handles information lookup, data retrieval, formatting, and form filling.
It takes less than a minute to fill out Amateur Sports/Activities Accident Insurance Quote Request using our AI form filling.
Securely upload your data. Information is encrypted in transit and deleted immediately after the form is filled out.
Form specifications
| Form name: | Amateur Sports / Activities Accident Insurance Quote Request Form (Philadelphia Insurance Companies) |
| Number of pages: | 1 |
| Filled form examples: | Form Amateur Sports/Activities Accident Insurance Quote Request Examples |
| Language: | English |
| Categories: | insurance forms, accident insurance forms |
Instafill Demo: filling out a legal form in seconds
How to Fill Out Amateur Sports/Activities Accident Insurance Quote Request Online for Free in 2026
Are you looking to fill out a AMATEUR SPORTS/ACTIVITIES ACCIDENT INSURANCE QUOTE REQUEST form online quickly and accurately? Instafill.ai offers the #1 AI-powered PDF filling software of 2026, allowing you to complete your AMATEUR SPORTS/ACTIVITIES ACCIDENT INSURANCE QUOTE REQUEST form in just 37 seconds or less.
Follow these steps to fill out your AMATEUR SPORTS/ACTIVITIES ACCIDENT INSURANCE QUOTE REQUEST form online using Instafill.ai:
- 1 Go to Instafill.ai and upload the Amateur Sports / Activities Accident Insurance Quote Request Form PDF (or select it from the form library).
- 2 Enter the organization’s name and mailing address details (street, city, state, ZIP) and provide the primary contact’s name, email, phone, and fax (if any).
- 3 Set the requested effective date of coverage and answer whether the organization currently has accident coverage (Yes/No); if Yes, attach the expiring policy and current loss runs for the last five policy years.
- 4 Describe any non-sport activities to be covered in the activities description section (if applicable).
- 5 Complete the estimated participants table by listing each sport/activity, its duration, and the number of participants in each age group (9 & under, 10–12, 13–15, 16–18, over 18).
- 6 Review the fraud warning and applicant acknowledgement, then add the authorized signatory’s title and date (and signature if required by the workflow).
- 7 Enter the agent/agency contact information, validate all fields for completeness, then download and submit the completed form to Philadelphia Insurance Companies using the provided email/address.
Our AI-powered system ensures each field is filled out correctly, reducing errors and saving you time.
Why Choose Instafill.ai for Your Fillable Amateur Sports/Activities Accident Insurance Quote Request Form?
Speed
Complete your Amateur Sports/Activities Accident Insurance Quote Request in as little as 37 seconds.
Up-to-Date
Always use the latest 2026 Amateur Sports/Activities Accident Insurance Quote Request form version.
Cost-effective
No need to hire expensive lawyers.
Accuracy
Our AI performs 10 compliance checks to ensure your form is error-free.
Security
Your personal information is protected with bank-level encryption.
Frequently Asked Questions About Form Amateur Sports/Activities Accident Insurance Quote Request
This form is used to request a quote for accident insurance coverage for an organizationâs amateur sports programs and/or other activities. It provides the insurer with organization details, requested effective date, and participant estimates by activity and age.
An authorized representative of the organization (such as a President, Treasurer, or Program Director) should complete the organization sections and sign the acknowledgements. If you are working with an insurance agent, the agent section should be completed by the agent/agency.
Youâll need the organization name, street address, city/state/ZIP, and a primary contactâs name, email, and phone number. Fax is optional if your organization does not have one.
This is the date you want the accident coverage to begin. Enter the desired start date (often the first day of a season, camp, or program) to help the insurer quote the correct term.
If you answer âYes,â you should submit a copy of the expiring policy and currently-dated loss runs for the most recent five policy years. These documents help the insurer evaluate prior coverage and claims history.
Provide as many years as you can obtain and note the reason the full five years are not available (for example, a newer organization or a recent carrier change). Your agent or the insurer may request additional details.
Provide a brief, plain-language description of the non-sport activities you want covered (e.g., âafter-school STEM club,â âdance classes,â or âsummer day camp field tripsâ). Include any details that affect risk, such as whether activities are indoor/outdoor or involve travel.
List each sport or activity on its own row, add the typical duration/frequency (e.g., â8-week season,â âweekly 2 hoursâ), and then enter estimated participant counts in each age band. Only fill participant counts for rows where youâve entered a sport/activity.
Enter how long the activity runs or how often it occurs, such as âJuneâAugust,â â10-week season,â or âMon/Wed 6â8 pm.â This helps the insurer understand exposure and scheduling.
Use the âOver 18â column for participants who are age 18+ in the activity. If youâre unsure whether coaches/volunteers should be counted as participants for this quote, include them in your estimate and clarify in a note to your agent/underwriter.
Attach an additional sheet listing the remaining sports/activities with the same columns (activity, duration, and participant counts by age). You can also ask your agent/insurer if they prefer a spreadsheet format.
Return the form to Philadelphia Insurance Companies at 500 Mamaroneck Avenue, Suite #402, Harrison, NY 10528, or email it to [email protected]. You can also call 1.800.734.9326 if you need submission guidance.
Processing time can vary based on completeness and whether prior policy/loss runs are included. Submitting all required documents and clear participant estimates typically helps avoid delays.
They state that providing false or misleading information is a crime and can lead to penalties or denial of benefits. By signing, you confirm the information is true and understand the application becomes part of any policy issued.
Yesâtools like Instafill.ai can use AI to auto-fill form fields accurately and save time by pulling details from your existing documents (like prior policies, rosters, or program summaries). Upload the PDF to Instafill.ai, add your source information, review the suggested entries (especially participant counts and effective date), and export the completed form for email or mailing; if the PDF is flat/non-fillable, Instafill.ai can convert it into an interactive fillable form first.
Compliance Amateur Sports/Activities Accident Insurance Quote Request
Validation Checks by Instafill.ai
1
Organization Name is present and not placeholder text
Validates that 'Name of Organization' is provided and contains a meaningful organization name (not blank, not only whitespace, and not values like 'N/A', 'TBD', or 'Unknown'). This is essential to identify the applicant and correctly issue a quote and any resulting policy documents. If validation fails, the submission should be rejected or routed back for correction because the quote cannot be reliably associated to an entity.
2
Organization mailing address completeness (street, city, state, ZIP)
Checks that Street Address, City, State, and ZIP/Postal Code are all completed for the organization. A complete address is required for underwriting, correspondence, and jurisdictional/rating considerations. If any component is missing, the form should be flagged as incomplete and prevented from submission until corrected.
3
State field uses valid two-letter abbreviation
Ensures the Organization State and Agent State fields are valid two-letter US state/territory abbreviations (e.g., NY, CA) and not full names or invalid codes. Standardized state codes reduce downstream mapping errors in rating and document generation systems. If invalid, the system should prompt the user to select/enter a valid abbreviation.
4
ZIP/Postal Code format validation (Organization and Agent)
Validates that ZIP codes are in an acceptable format such as 5 digits (e.g., 10528) or ZIP+4 (e.g., 10528-1234) for US addresses, and are not alphabetic or too short/long. Correct ZIP formatting supports accurate territory assignment and mailing. If validation fails, block submission and request a corrected ZIP.
5
Primary Contact name is present and appears to be a person
Checks that the Primary Contact Name is provided and contains at least two alphabetic tokens (e.g., first and last name), not just a single character or organization name repeated. This ensures there is a responsible individual for follow-up questions and quote delivery. If it fails, the form should be returned for completion to avoid delays and misdirected communications.
6
Email address format validation (Primary Contact and Agent)
Validates that Email fields follow a standard email pattern (local-part@domain) and do not contain spaces or invalid characters, and optionally that the domain contains a valid TLD. Email is a primary channel for quote correspondence and missing/invalid emails can prevent delivery. If invalid, the system should require correction or require an alternate contact method before acceptance.
7
Phone number format validation (Primary Contact and Agent)
Ensures phone numbers contain a valid count of digits (e.g., 10 digits for US numbers) and allows common formatting characters ((), -, spaces) and optional extensions (e.g., x123). Accurate phone numbers are critical for underwriting follow-up and time-sensitive binding questions. If validation fails, prompt for a corrected number and prevent submission if phone is required.
8
Fax number format validation when provided (Organization and Agent)
If a Fax number is entered, validates it uses the same digit/format rules as phone numbers and is not obviously invalid (e.g., all zeros). Fax is optional, but incorrect values can cause failed transmissions and data quality issues. If invalid, the system should either clear the field with user confirmation or require correction before saving.
9
Requested Effective Date is a valid date and not in the past
Validates that the Requested Effective Date is a real calendar date in an accepted format and is not earlier than the submission date (or earlier than a configurable minimum lead time). Effective dates drive eligibility, pricing, and policy issuance timelines. If the date is invalid or in the past, the submission should be blocked and the user asked to enter a permissible effective date.
10
Current Accident Coverage selection is exactly one of Yes/No
Checks that the applicant selects either 'Current Accident Coverage â Yes' or 'No', but not both and not neither. This is a key underwriting question and ambiguous responses create processing delays. If validation fails, require the user to choose exactly one option before submission.
11
Prior coverage documentation required when Current Accident Coverage = Yes
When 'Yes' is selected for current accident coverage, validates that required supporting documents are indicated/attached (expiring policy copy and currently-dated loss runs for the most recent five policy years) or that a documented exception reason is provided. These documents are necessary to evaluate prior experience and continuity of coverage. If missing, the system should flag the submission as incomplete and prevent it from being treated as a complete quote request.
12
Activities Description required when non-sport activities are included
Validates that 'Activities Description' is provided when any listed activity appears to be non-sport (e.g., 'Art Class', 'Field Trip', 'Camp', 'Dance') or when the applicant indicates activities other than sports. Underwriters need context to assess risk and confirm the scope of coverage. If missing, the system should request a brief description and hold the submission until provided.
13
Estimated Participants table row integrity (Sport/Activity drives required fields)
For each row, if 'Sport or Activity' is filled, validates that Duration of Activity is also filled and that at least one age-group participant count is provided. This prevents incomplete rows that cannot be rated or interpreted. If the row is partially filled (e.g., counts without a sport, or sport without duration), the system should flag the row and require correction or removal.
14
Participant counts are non-negative integers within reasonable bounds
Validates that all participant count fields (by age group) are whole numbers (no decimals), not negative, and below a configurable maximum (to catch data entry errors like extra zeros). Accurate counts are essential for exposure calculation and premium estimation. If validation fails, the system should highlight the offending cell(s) and require corrected numeric input.
15
Duration of Activity format and reasonableness check
Checks that Duration of Activity entries are meaningful (not blank/placeholder) and conform to expected patterns such as a number + unit (hours/weeks/months), frequency (weekly), or season range (JuneâAugust). Duration impacts exposure assumptions and underwriting review. If the duration is missing or nonsensical (e.g., random characters), the row should be rejected until corrected.
16
Acknowledgement signature block completeness (Signed, Title, Date)
Validates that the acknowledgement section includes a signature/typed name in 'Signed', a Signatory Title, and a Signatory Date, and that the date is a valid date. This confirms the applicant attests to the accuracy of the submission and acknowledges fraud warnings and policy conditions. If any element is missing or invalid, the submission should be considered unsigned and not accepted for processing.
Common Mistakes in Completing Amateur Sports/Activities Accident Insurance Quote Request
Applicants often enter a nickname, program name, or a different name than what appears on prior policies and legal documents. This can cause underwriting delays, mismatched records, or issues when the carrier requests expiring policy documents and loss runs. Use the full legal name (or the exact commonly used name that matches your current/expiring policy) consistently across the form and attachments. AI-powered form filling tools like Instafill.ai can help standardize organization names across documents and flag inconsistencies before submission.
A common error is leaving out suite/unit numbers, using a PO Box when a street address is expected, or entering an incorrect ZIP code for the listed city/state. This can lead to correspondence going to the wrong place and can also trigger underwriting follow-ups to confirm the risk location. Enter the full street address exactly as used for official mail and verify city/state/ZIP alignment. Instafill.ai can validate address formats and catch mismatched city/state/ZIP combinations automatically.
People frequently put the organization name in the Contact field, misspell the contactâs name, or provide a generic inbox without confirming itâs monitored. Incorrect contact details slow down quoting because the carrier canât clarify missing items (like participant counts or activity descriptions). Provide a specific personâs full name and a reliable email/phone number with an extension if applicable. Instafill.ai can format phone numbers consistently and validate email structure to reduce bounce-backs.
Applicants often enter phone numbers without area codes, put an extension in the wrong place, or accidentally place a phone number in the fax field (or vice versa). This creates communication failures and can delay time-sensitive quote requests. Use a standard format (e.g., 212-555-0123 x123) and leave Fax blank if none rather than entering placeholders. Instafill.ai can auto-format numbers and ensure each value lands in the correct field.
Many submissions leave the effective date blank, use an unclear format (e.g., 3/4/26), or request a date in the past/too soon for underwriting review. This can result in the quote being issued with the wrong start date or require rework and re-issuance. Enter a clear date format (e.g., YYYY-MM-DD or spelled-out month) and confirm it aligns with when you actually need coverage to begin. Instafill.ai can enforce date formatting and flag dates that are invalid or likely to cause processing issues.
Applicants sometimes check both Yes and No, leave it blank, or answer Yes without providing the required expiring policy and five years of currently-dated loss runs. This is one of the most common reasons quotes stall because underwriting relies on prior coverage and loss history. Select only one option and, if Yes, attach the expiring policy plus loss runs for the most recent five policy years (or explain if fewer years exist). Instafill.ai can prompt for required attachments when 'Yes' is selected and prevent contradictory checkbox selections.
For activities other than sports, applicants often write overly broad descriptions like âeventsâ or âclub activitiesâ without specifying what participants will actually do. Underwriters need enough detail to understand the exposure (e.g., camps, clinics, travel, tournaments, training, cheer/dance, martial arts, etc.), and vague descriptions lead to follow-up questions or incorrect rating. Provide a brief but specific description including the nature of the activity, where it occurs, and whether itâs instructional, competitive, or recreational. Instafill.ai can guide users with structured prompts to capture the key details consistently.
A frequent mistake is placing totals in a single age column, swapping age groups (e.g., putting 13â15 into 16â18), or leaving age columns blank while listing a sport. Incorrect age distribution can materially affect pricing and may require the quote to be revised later. Enter estimated counts for each age band that actually participates, and use zeros where appropriate rather than leaving cells empty if the activity is listed. Instafill.ai can validate that age-band entries are numeric and can flag suspicious distributions (e.g., totals entered only in one column).
Applicants often provide participant numbers without indicating whether they represent unique individuals, average attendance, or cumulative participation across multiple sessions. This ambiguity can lead to misrating, quote revisions, or coverage expectations that donât match the policy terms. Align counts with how the carrier expects exposure to be measured (typically estimated participants for the activity/season) and keep the approach consistent across all rows. Instafill.ai can add consistency checks and help standardize how counts are entered across activities.
People commonly write âseasonâ without dates, omit frequency (weekly vs. daily), or leave Duration blank even when a sport/activity is listed. Duration/frequency affects underwritingâs understanding of exposure and can trigger follow-up requests that delay the quote. Provide a clear duration such as â8-week session, 2 practices/weekâ or âJuneâAugust, daily camp.â Instafill.ai can suggest standardized duration formats and ensure the duration field is completed whenever an activity row is used.
Submissions are often returned because the form is unsigned, the signerâs title is missing, or the date is omitted/incorrect. Without a properly executed acknowledgement, the carrier may not be able to proceed or may treat the submission as incomplete. Ensure an authorized representative signs, prints/enters their title (e.g., President, Treasurer), and dates the form on the same day itâs signed. If the form is only available as a flat non-fillable PDF, Instafill.ai can convert it into a fillable version and help ensure signature blocks, titles, and dates are not missed.
Saved over 80 hours a year
âI was never sure if my IRS forms like W-9 were filled correctly. Now, I can complete the forms accurately without any external help.â
Kevin Martin Green
Your data stays secure with advanced protection from Instafill and our subprocessors
Robust compliance program
Transparent business model
Youâre not the product. You always know where your data is and what it is processed for.
ISO 27001, HIPAA, and GDPR
Our subprocesses adhere to multiple compliance standards, including but not limited to ISO 27001, HIPAA, and GDPR.
Security & privacy by design
We consider security and privacy from the initial design phase of any new service or functionality. Itâs not an afterthought, itâs built-in, including support for two-factor authentication (2FA) to further protect your account.
Fill out Amateur Sports/Activities Accident Insurance Quote Request with Instafill.ai
Worried about filling PDFs wrong? Instafill securely fills amateur-sports-activities-accident-insurance-quote-request-form-philadelphia-insurance-companies forms, ensuring each field is accurate.
