Luis Leal, Tattoo Shop Expert

TATTOO SHOP INSURANCE

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Complete The Form Below To Get Started on your quote

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Step 1 of 7

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General Business Information

Business Legal Name:*

Owner's Name*

First Last

Best Contact Phone Number:*

Best Email Address:*

Do you prefer to have one of our Risk Advisors reach out to you by phone to complete the application or would you like to continue on your own? The application will take about 15 mins to complete if you have all the required information.*

I would like to have an advisor call me to complete the questionnaire.

I would like to continue filling out the online application

Mailing Address:*

Street Address City State ZIP Code

Is the mailing address the same as the physical location for the business?*

Yes

Physical Address*

Street Address City State ZIP Code

Website*

Please enter a website or social media website address.

Are there multiple locations to be insured?*

Yes

Additional locations to be included this quote:*

Please use the "+" sign on the right side of the column to each additional location

Street address

City, State, Zip Code

Is the applicant licensed by the state?*

Yes

License Number:*

License Expiration Date*

MM slash DD slash YYYY

Number of years in business:*

Please enter a number from 0 to 100.

Number of years of experience in this type of work:*

Please enter a number from 0 to 100.

Estimated Annual Gross Sales/Revenue*

PLEASE NOTE: This should be the total estimated gross sales or revenue for services and products sold in the upcoming 12 month period BEFORE any anticipated expenses, including, but not limited to: payroll, subcontract cost, materials, labor, taxes, etc.

Please enter a number greater than or equal to 0.

Percentage of Sales for Tattoo and/or Piercing services*

Please enter a number from 0 to 100.

Percentage of Jewelry Sales*

Please enter a number from 0 to 100.

Total*

Other than the owner, are there any additional artists (independent contractors, W2 employees) that do not carry their own insurance?*

Yes

Please provide the following information for each artist:*

Artist Name

Years of experience

Employee or Independent Contractor

Do you conduct background checks on all artists working in your studio?*

Yes

Tattoo & Body Piercing Questionnaire

Which services do you or your artists offer in the your shop:*

Tattooing

Piercing

Both

Are there any past or current assault, battery, sexual abuse or molestations claims against you and/or any employee/independent contractor?*

Yes

Does your studio allow for or have any of the following:*

A documented apprentice program

All artist who have had formal instruction for their area of expertise

Written sterilization, sanitation and safety standards

Require artists to use a new pair of gloves with each procedure

Use an intake/prescreening form for all clients

Require clients to sign a release and provide an aftercare form for all clients

Schedule a follow-up after the procedure

Any sales of Vape, CBD, THC or other Cannabinoid product

None of the above

Does your intake/prescreening form include the following (please be prepared to provide a copy of your intake/prescreening form)*

Medical history for the client

Hold harmless clause

Informed consent clause

None of the above

Check all that apply

Do you perform either of the following on minors?*

Please select all that apply regarding services performed on minors:*

Tattooing minors is prohibited by state regulations

Piercing minors is prohibited by state regulations

Tattoo or piercing minor's genitalia

Always obtain written consent from a parent or guardian (please be ready to provide a copy of this form)

None of the above

Does your studio allow for or have any of the following:*

Hot & cold water running water on site

Any animals on premises

Firearms on the premises

Any type of entertainment (ie: dancers, promoters, etc)

None of the above

Tattoo services Questionnaire

Approximate number of tattoos done in the last 12 months:*

Please enter a number greater than or equal to 0.

Do you an auto clave?*

Yes

Who is the manufacturer for the device?*

How do you sterilize materials and equipment prior to use?*

Do you use disposable needles?*

Yes

Do you ever re-use needles?*

Yes

Are all pigments from U.S. manufacturers?*

Yes

Please describe where your pigments comes from if not from the US:*

Is excess pigment disposed of after each use?*

Yes

Select all of the procedures offer by your or any of your artists in the shop:*

Permanent cosmetics

Skin re-pigmentation or camouflage tattoos

Tattoo removal

None of the above

Piercing Services Questionnaire

Approximate number of piercings done in the last 12 months:*

Please enter a number greater than or equal to 0.

Check all services performed in your studio:*

Apprentices perform clitoris or triangle piercings

Sterilize needles with each individual piercing

Sterilize equipment and materials prior to use

Jewelry you use is only from U.S. manufacturers

Produce or manufacture any type of jewelry

Use a piercing gun

None of the above

How is the body prepared before piercing?*

What is the jewelry used generally made of?*

How do you sterilize jewelry prior to insertion?*

How are hard surfaces sterilized?*

Indicate make and type of equipment and/or jewelry sterilizer used:*

List all equipment used to pierce:*

Optional Coverage Selection

Select optional Property coverage limit you would like included in your quote:*

This is coverage for personal property owned by you and/or business. Think: equipment, furniture, electronics, inventory, etc.

What coverage amount would you like to protect your business personal property?*

Please enter a number greater than or equal to 0.

Select optional Professional Liability coverage limit you would like included in your quote:*

Professional Liability is protection for your work in case someone says you messed up or that your work caused them harm.

Select optional Molestation & Abuse coverage limit you would like included in your quote:*

Think of this coverage as protection against an accusation that you or an artist in your shop was inappropriate in handling them during service.

Select optional Assault and/or Battery coverage limit you would like included in your quote:*

This coverage protects your business if someone claims they were physically harmed in your shop — whether it’s a fight between customers, an employee accused of rough or aggressive behavior, or even if security has to step in.

File upload

Please use this opportunity to upload any contract requirements that you need met with these policies, release, intake form, aftercare instructions, consent forms, etc so that we are quoting appropriately.

Drop files here or

Accepted file types: pdf, jpeg, png, Max. file size: 5 MB, Max. files: 5.

Affirm & Consent*

I consent & affirm the following is true and correct:

The application information is true and correct to the best of my knowledge.

By submitting this request you are authorizing Leal Insurance Services, its affiliates and carrier partners the access to pull the necessary reports (i.e. claims, credit, and loss history) to confirm the data submitted.

Submitting your quote request does not constitute a binding confirmation of a new or revised insurance coverage.

Leal Insurance Services is committed to respecting your privacy and communication preferences. So that we may remain compliant with state and federal regulations, we need your expressed permission to communicate with you through phone, text and email as needed.

You may opt-out of all future communication at any time by making your preferences known to us.

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