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First Casualty Insurance Group
 Child Care Centers Insurance Application 
If you would like a free, no-obligation quote, please fill out this form and click submit. You may also fill out the form, print it and fax it to 910-692-9752 or mail to:

First Casualty Insurance Group, Inc.
190-A Turner Street
Southern Pines, NC 28387

If you have any questions or need assistance in completing the form, please contact us at (800)352-3416.

General Information
Current/Previous Insurance
Facility Information
Swimming Pool Exposure
Play Areas
Sexual Abuse/Molestation
Building Specifics
Worker's Compensation
Teacher/Child Ratios
Please list your actual numbers, not what the state requires
Our Child Care Insurance Network is comprised of multiple insurance companies offering some of the most comprehensive and competitive programs available. In order to provide a cost-effective illustration for your operation additional information may be needed upon review of your submission.
By completing this form you are acknowledging your understanding of and agreement with the following terms:
1. No coverage of any kind is bound or implied by submitting information via this online form.
2. Information from you and other sources such as your driving claims and insurance histories may be used to calculate an accurate price for your insurance.
3. We will not distribute information to other parties other than for insurance underwriting purposes.
4. We value your privacy. Every precaution has been taken to insure your privacy and security.
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Have Questions?  Give Us A Call!

Toll Free 800.352.3416

Local 910.692.8303

How To Find Us

FCIG Building

Link to Local Animal Shelter

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    Disclaimer: Please note that completion of the following request for information does not constitute the purchase of insurance. No coverage may be added, changed or bound as a result of submitting this request for information or quotation of insurance. All coverage must be confirmed by the agency in writing subject to an acceptable signed application meeting the underwriting guidelines of the Insurance Company. First Casualty Insurance Group is licensed in the states of North Carolina, South Carolina and Virginia. No solicitation of insurance is being made outside of this these states.

    Statements on this web site as to policies and coverage provide general information only. This information is not an offer to sell insurance. Insurance coverage cannot be bound or changed via submission of any online form/application provided on this site or otherwise, email, voicemail or facsimile. No binder, insurance policy, change, addition, and/or deletion to insurance coverage go into effect unless and until confirmed directly by a licensed agent. Any proposal of insurance we may present to you will be based upon the information you provide to us via this online form/application and/or in other communications with us. Please contact our office at (800) 352-3416 to discuss specific coverage details and your insurance needs. All coverage is subject to terms, conditions and, exclusions of the actual policy issued. Not all policies or coverage is available in every state. Information provided on this site does not constitute professional advice; if you have legal, tax or financial planning questions; you should contact an appropriate professional. Any hypertext links to other sites are provided as a convenience only; we have no control over those sites and do not endorse or guarantee any information provided by those site.
    190-A Turner Street  |  Southern Pines, NC 28387  |  1-800-352-3416
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