Before you submit

Overview and Fraud Warning

Please read this in full and confirm each statement below before submitting your application.

This application is for an insurance policy to repair my jewelry or replace it with same kind and quality in the event of a future loss. I understand that my submission of this insurance application or payment of initial premium does NOT guarantee that Gem Shield Insurance Agency and or it’s affiliates will issue a policy to me, and I may be contacted for further information before any decision is made on my application. I understand that as part of the underwriting review process, Gem Shield Insurance Agency and/or its business partners or affiliates may share my information in order to request loss experience reports from appropriate sources and/or utilize other underwriting tools as described in our privacy policy.

Please confirm each of the following

I wish and intend to complete and submit to Gem Shield Insurance Agency an application for insurance with Gem Shield Insurance Agency’s partners and or affiliates. I understand that my submission of the insurance application or payment of initial premium does NOT guarantee that Gem Shield Insurance Agency and or its partners will issue a policy to me, and I may be contacted for further information before any decision is made on my application. I understand the importance of true and accurate information and have read, and I understand, the Overview & Fraud Warning message included in this page.