Military Child Care Insurance

Wilcock & Associates Insurance Services

ADDED BENEFITS

Your certificate will be emailed to your coordinator once payment is received.
The liability for approved pets, including dogs, is covered with this policy.
If you need a substitute, then he/she is also covered (if military cerfified).
Up to six children are covered, you will not be charged for them individually.

FREQUENTLY ASKED QUESTIONS

Certificate extensions are not available.
Your personal property is not covered (we recommend a renter's policy).
We accept personal checks and money orders.

LIMITS OF INSURANCE


TERMS OF INSURANCE

Refunds & Cancellations
Six-month certificates are non refundable, unless not approved. Once payment on a certificate has been made by you, applications cannot be cancelled. Year certificates are refundable up to six months, with a maximum of $73.00 or less depending on the unused portion.

Day Care & Child Care TIPS

A smashed finger in a door is one of the most common injuries a child day care center can have. Door crack covers are a good investiment, as well as childproof latches and locks.

Child Care Provider Support Discussion Forum

Join the free online community of child care providers at MilitaryChildCare.org.

Have questions about being a military child care provider? Or perhaps you have a few years of experience and can help out other child care providers helping families serving in the armed forces. Discuss everything anonymously.

CONTACT US

PO Box 50125
Mesa, AZ 85208

Phone: (800) 657-0981
Fax: (480) 464-2195

Send an email

INSURANCE ORDER FORM

Printable certificate available immediately
Coverage as early as today -- 03/09/2010

Branch
Air Force
Coast Guard
Marines
Navy
Base Name

In order to qualify for this insurance program you MUST have military day care certification (or) in process to become certified and monthly inspections MUST be performed by base personnel.

Renewal? no     yes

First Name
Last Name
Phone
Email
Fax

Mailing Address

Address
City
State
Zip

Sponsor (Spouse) Information

READ THIS: If you have a spouse serving in the military please list their first name, rank ie: E-6, E-5, E-4 ect, and the last four digits of their S.S.N. If not please skip the "Spouse/Sponser" fields -- Sponsor, Rank, and SSN.
Name
Rank
SSN# (last 4) 

Program Director / Coordinator Information

Name
Email

Previous Losses? no     yes

Do you have pets? no     yes
If yes, please describe
(List all breeds)
Military regulations regarding contact with children are required to be followed.
   

Policy Effective Date
   

Type of Coverage? 1 year ($162.19)
6 months ($82.68)
        * plus fees

ANY PERSON WHO KNOWINGLY AND WITH INTENT TO DEFRAUD ANY INSURANCE COMPANY OR OTHER PERSON FILES AN APPLICATION FOR INSURANCE CONTAINING ANY MATERIALLY FALSE INFORMATION, OR CONCEALS FOR THE PURPOSE OF MISLEADING, INFORMATION CONCERNING ANY FACT MATERIAL THERETO, COMMITS A FRAUDULENT INSURANCE ACT, WHICH IS A CRIME. IN SOME JURISDICTIONS, INSURANCE FRAUD MAY ALSO BE SUBJECT TO CRIMINAL AND/OR CIVIL PENALTIES. INSURANCE BENEFITS MAY ALSO BE DENIED.

   

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