Submission Checklist and Application
Submission Checklist Motor Truck Physical Damage and Cargo
AIG Fleet Application
AIFE Fleet Application
ACE General Freight Application
ACE - Hazardous Commercial Auto Application (10+ Units)
Berkley Small Trucking Questionnaire
Scottsdale Commercial Auto Application
Adriatic Cargo Application
Adriatic Physical Damage Application
Crum & Forster Occ/Acc & CL Application
Great American Cargo Application
Lloyds of London - Cargo
Lloyds of London - Terrorism
Truckers Physical Damage Application
Vehicle Inspection Report - Trucks
Zurich Occupational Accident Group Application (10+ lives)
Zurich Contingent Liability Application (Occupational Accident)
Zurich Non-truck Liability and Physical Damage
Zurich Workers Compensation Supplement (only available in conjunction with Occupational Accident and Contingent Liability)
Zurich Passenger Accident
Pan American Life Insurance Company’s Occ/Acc Guidelines with Plans A, B, C and Z Enrollment Forms
- State-specific carrier enrollment forms are also required in addition where applicable.
- Coverage is with an admitted carrier. No need for surplus lines taxes or affidavits.
- New enrollment questionnaire and enrollment forms are required. We are not able to accept our prior enrollment forms.
- If you have a driver located in a state other than the states listed in our underwriting guidelines, please contact your underwriter or email us at firstname.lastname@example.org.