Click the PDF icon below and a form will download for you to complete.

You can then enter your information into the form, after which we suggest you save the completed form for safekeeping. You can then attach the file to an email and send it to [email protected], or you can print it and either fax it to (559) 650-3558 or mail it to:

Account Services Department
Landscape Contractors Insurance Services, Inc.
1835 N. Fine Ave
Fresno CA 93727

Questions or concerns?
Call us at (800) 628-8735 or send us an email.