Public Entity

PE Applicant Information Section

PE Commercial Automobile Section

PE Commercial Umbrella/Excess Liability Application

PE Convention/Civic Center Exposure Questionnaire Q
(Exhibition Buildings, Arenas, Etc.)

PE Crime Information Section Supplement
(Complete in addition to Applicant Information Section)

PE Dams and Reservoirs Questionnaire M

PE Day Care Questionnaire C

PE Electric Utility Questionnaire F

PE Emergency Dispatchers Liability Section

PE Employment Practices Liability (Claims Made) Section

PE Firefighters Professional Liability Section

PE Gas Utility Questionnaire G

PE General Liability Section

PE Landfill/Dump/Refuse Site/Incinerator Questionnaire D

PE Law Enforcement Liability Section

PE Miscellaneous Exposure Questionnaire P

PE Port/Transportation/Airport Authorities Questionnaire N

PE Professional Renewal Questionnaire

PE Property and Allied Lines Information Section
(Complete in addition to Applicant Information Section)

PE Property and Casualty Renewal Application

PE Public Housing Authority Questionnaire H

PE Public Officials Liability (Claims Made) Section

PE Recreational Activities Questionnaire K

PE Schools Questionnaire J

PE Sewer/Water Utility Questionnaire E

PE Special Events Questionnaire B
(Carnivals, Fairs, Parades, Etc.)

PE Streets/Roads/Highways/Bridges Questionnaire A

About Us

Roush Insurance Services, Inc. is a wholesale general insurance agency that has been in business since 1990. We offer licensed insurance agents access to the excess and specialty market for risks domiciled in Indiana, Illinois and Ohio.

Industry Links

Our memberships in WSIA, PIA of IN, IIA of IN and IIA of IL enable us to stay abreast of industry developments and better serve your insurance needs.

Contact Us

Roush Insurance Services, Inc.
18077 River Road, Suite 107
Noblesville, IN 46062-8311
Toll Free: (800) 752-8402
Phone: (317) 776-6880
Fax: (317) 776-6891