Vikco Commercial Earthquake Submission

Farmers Agent Information

(Must provide @farmersagent.com email address.)


(xxx) xxx-xxxx
Insured Information





(xxx) xxx-xxxx
Location Information



click here for description





click here for description
click here for description

Please enter the total values for each of the following coverage types. Real Property includes the building value, and anything permanently attached to the building. Please click the for further details.

The Limit Requested cannot be greater than the sum of the values for the coverage types.

click here for description
click here for description

Coverages mm/dd/yyyy




Policy History



Optional Coverages click here for description
click here for description
Notes