Corp.   LLC   DBA   Individual  








Contact Information for Person Handling Insurance










Yes
No




Aircraft Data


UAV (ground pilot operated aircraft)
Drone (No ground pilot; pre-programmed)




Fixed wing
Rotor wing

8





Fixed wing
Rotor wing

8




Yes No



Yes No



Yes No



Airport runway
Roads
Fields
Vertical Takeoff
Other (describe)


Proposed Use of Aircraft


Business (i.e. real estate aerial photography. No charge to others)
Commerical (A charge will be made to others for operation of the aircraft)
Personal

Please note that there may be coverage under your home insurance in the model aircraft section of your policy. Reach out to your company and request a copy of the policy to learn more about your specific coverage. If you are thinking about charging customers for your services, then there will be no coverage under your home insurance. This is where Stonewall Aviation can help. Please continue filling out the form and we will be in touch shortly to discuss your coverage options. Thank you for requesting a quote from Stonewall Insurance Group.






Yes
No



Yes   No


Yes   No


Area of Operations






Insurance Desired


$1,000,000 combined single limit of bodily and property damage
Other (describe):
Airframe. Value: $
Attachments. Value: $
Ground equipment. Value: $
No Air frame Coverage Desired



Yes
No


Pilots/Operators



Most experienced pilot:












Yes
No




Other