Submissions

To begin the submission process, please download the coverage specific supplemental forms and return along with loss runs and other pertinent information to:

For states: AZ, CA, FL, IL, IN, KS, KY, MI, MN, NJ, NV, OH, OK, OR, SD, TN, WI

Liquor submissions should be sent to: [email protected]

With the exception of liquor liability, Acord applications are required for all submissions. In addition, please complete the following forms where applicable.

• Liquor Liability and Hospitality Package
• Auto Shop Supplement
• Building Maintenance Supplement
• Contractors Supplement
• Manufacturing Supplement
• Workers’ Compensation Restaurant Supplement
• Automobile Dismantler Supplemental Application
• SCRAP Dealers Supplemental Application
• Waiver of Subrogation