QDMA Member
Insurance Program
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QDMA Hunting Lease Liability Insurance

Please fill out the online application below or click here to download a PDF application that can be mailed.
If you have any questions, problems, or concerns please contact Outdoor Underwriters at 1-866-961-4101.

Policy/Coverage Information

You are applying for Hunting Lease Liability Insurance.

With your policy, the hunting group representative and any additional insured landowners will receive a free 1-year QDMA membership, which includes a one-year subscription to QDMA's acclaimed deer management journal, Quality Whitetails. Each issue is packed with cutting-edge information on deer herd and deer habitat management techniques to produce better deer and better deer hunting. Just a reminder, you must have a written lease with each landowner in order to take out this coverage.

You will receive an email notification when your application has been approved and your policy is activated. You will then be able to log into your account to download a copy of your policy.

Hunting Club Information

Hunt Club Name* Number of Members*
Representative* Main Number*
Address* Secondary Number  
  Fax Number  
City* Email*
State* Password*
Zip* Confirm Password*
How did you find us?* Enter your email address and a password to create your account
so that you can later access and manage your policy online.

Your email address and personal information will be kept private.
Does the Hunt Club or Hunt Club Representative have a current QDMA membership?*
 
 Which NWTF chapter do you belong to? 
 
$0.00 has been added for a 1-year QDMA Membership.
Information and a membership card will be mailed from QDMA to the address above.

Landowner(s) Information

Remove This Landowner
Name of Landowner*
Representative  
Address*
 
City*
State*
Zip*
Does this Landowner have a current QDMA membership?*
 
$0.00 has been added for a 1-year QDMA Membership.
Information and a membership card will be mailed from QDMA to the landowner's address above.

Are all of the acres on this property jointly owned with another landowner?
If so, click the button below...
Add Joint Landowner To This Property
Main Number
Secondary Number
Fax Number
Email
Please provide an email address so that your landowner can receive a PDF Certficate of Insurance by email.
Number of Acres Leased*
Leased Property City  
Leased Property County*
Leased Property State*
Leased Property Location  
For an additional $, this landowner and joint landowners (if applicable) has been named as an Additional Insured.
Would you like to keep this?*
 
Your landowner will not be covered in the event they are brought into a hunting club claim.
Need to list another landowner? Click the button below...
Add Separate Landowner

Coverage Dates

Choose your desired effective date.

Effectve Date will be the day your policy is activated.
Premium will not be pro-rated.

Payment Calculation

Base Premium:
Base premium is   per acre leased (--)
and
a minimum of --
--
Total Amount Due: --

Payment

Cardholder Information
Please enter the cardholder's name and billing address
Name on Credit Card* Card Type*
Billing Address* Card Information*
  Card Number
City* Card Expiration
State*
Zip*
Check Information
Write a check made payable to "Quality Deer Management Association" in the amount of -- and enter the check information below. If you intend to mail a money order, disregard the textboxes below.
Checkholder's Name
Check Number
After submitting your application, mail your check or money order to:
Quality Deer Management Association
RE: Application
PO Box 160
Bogart, GA 30622

Communication Preferences

  
  

Submit Application

Please make sure that you include your landowner's email address(es) so that we can get your Certificate of Insurance to you faster.

Coverage cannot be confirmed via telephone. No refunds will be issued if the policy is cancelled midterm.

Coverage under this program is for non-commercial hunting operations. Guided hunting, outfitting, and other for-profit hunting operations are specifically excluded.

The club must have a written lease with each landowner that is listed on this application.

By submitting your application, you agree that you have read the above statement and understand all of the guidelines set forth by the Quality Deer Management Association Hunt Club Liability Policy. You also agree that all information is true and accurate to the best of my knowledge and no pertinent information has been withheld.

Please note this policy is fully earned at time of inception - No refunds will be issued if the policy is cancelled midterm.