Business Owners (BOP) Form Fill out the following form as completely as possible. Once you have completed the form, click the Submit button to send your information. Your request will be handled promptly. Company InformationCompany Name*Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Phone*Email* Owner's Name* First Last Nature of BusinessNumber of OwnersGross Annual SalesNumber of EmployeesAnnual Employee PayrollSubcontractors UsedYesNoAnnual Cost of SubcontractorsSquare Footage of LocationAdditional InformationPrior InsuranceMonths With Current InsurerImportant Notice