October 2006
HUNTING OR FISHING QUESTIONNAIRE
1. Please describe the fishing or hunting activities conducted on your premises either owned or leased.
2. What is the annual income from hunting or fishing fees? Is this more than 25% of total farm receipts?
3. How many individuals are permitted to hunt or fish each year on your premises?
4. Do you rent or lease to parties or groups at any time during the year? If so, please explain in detail.
5. Do you provide any services to those you rent or lease the premises to, such as meals, beverages,
transportation, or lodging? If yes, please explain in detail.
6. Are any Guide or Outfitter services / instruction provided? Yes No
If yes, please explain in detail and provide a Certificate of Insurance if applicable.
7. Do you provide any arms training or ammunition to hunters? If yes, please explain in detail.
8. What is the distance from the boundary of the hunting & fishing area to adjacent homes or businesses?
9. Is watercraft rented or leased to others? Yes No If so, please provide receipts.
10. Are signed Hunting/Fishing Hold Harmless Agreements obtained by insured? Yes No
11. Are “NO TRESPASSING” signs posted clearly surrounding hunting or fishing area? Yes No
12. Are first aid kits located on the premises along with posted emergency contact information for rescue squad,
hospital, doctor, & police / 911? Yes No
13. Does insured verify completion of the Hunter Education course? Yes No
(Response required only if completion of course is requirement for your state.)
14. Do you provide any tree stands for hunters? Yes No
15. Are any paintball courses or public ranges located on the insured’s premises? Yes No
16. Is alcohol consumption allowed by hunters during hunting hours or while hunting? Yes No
17. What are the hours of hunting allowed?
