Hotel Insurance Supplemental Application. Any person who knowingly and with intent to defraud any insurance company or other person files an application for insurance or statement of claim 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, Does the hotel provide any of.
James river insurance company and its subsidiaries richmond, va 23230 hotel/motel supplemental application general casualty division email to [email protected] or,. A138s(06/18) contains copyrighted material of insurance services office, inc., with its permission. 1000, dallas, texas 75240 tel: