|
|
Download and Complete Applications Online!
Email Application to apps@abraminterstate.com
Or fax the completed form to 916.780.7181
|
|
| For your convenience you can download
applications with Adobe Acrobat Reader®.
|
Accounting
Return to Top
|
| Check by Fax Form- [Microsoft Word] |
| |
Earthquake
Return to Top
|
I-Cat Commercial Earthquake Application -[editable, Adobe] |
| Golden Bear Commercial Earthquake Application -[editable, Adobe] |
| |
Equine Mortality
Return to Top
|
| Markel Hassle Free Mortality & Theft: Generic App- [editable, Adobe] - The Generic Application is for Western horses, Quarter horses, Paints, etc. used in flat classes. |
| Markel Hassle Free Mortality & Theft: Sport App - [editable, Adobe] -The Sport Application is to be used for English, Hunter/Jumper, and Dressage horses. |
| Markel Justification of Value -[editable, Adobe] - Please complete this form when required. |
| Standard Theft and Mortality -[editable, Adobe] |
| |
Farm
/ Ranch
Return to Top
|
| St. Paul/Traveler's Farm/Ranch - [editable, Adobe]- Please complete this form for property and liability coverage for working horse, cattle and crop farms. |
| St. Paul/Traveler's Equine Liability Supplement - [editable, Adobe] - Please complete this application for any risk with owned or non-owned horses. |
| St. Paul/Traveler's CCC -[editable, Adobe] - Optional endorsement when there are non-owned horses. |
| Great American Equine Farm -[editable, Adobe] - Complete this application for property & liability for horse farms. |
| Great American Equine Liability - [editable, Adobe] - Complete this application for commercial equine liability coverage. If the applicant owns the property, please complete the Great American Equine Farm application (above.) |
| Great American CCC - [editable, Adobe] - Coverage is only applicable for non-owned horses. Please complete this form in addition to the Equine Farm or Equine Liability application if coverage is desired. |
| Great American Individual Horse Owner Liability - [editable, Adobe] - Coverage for personal horses only. No commercial operations can be present. |
| Markel Private Horse Owner - [editable, Adobe] - Please complete this application if there are no commercial operations. Additional Insureds are not permitted on this policy. |
| Great American Race Horse Owners Liability - [editable, Adobe] - Coverage for horses used for racing or race training |
| Woodburning Stove Questionnaire - [editable, Adobe] |
| Markel Commercial Equine Liability - [editable, Adobe] |
| Markel Riding Instruction Supplement - [editable, Adobe] - Complete with the Markel Commercial Equine Liability application if there is any riding instruction exposure |
| |
Commercial Lines
Return to Top
|
| ACORD Commercial Applications -[editable, Adobe] |
| |
|
ACORD 125 Commercial Insurance Application |
|
ACORD 126 Commercial General Liability Section |
| |
ACORD 140 Property Section |
| Commercial Policy Change Request -[editable, Adobe] |
| Restaurant/Bar/Tavern/Nightclub Supplemental Questionnaire - [editable, Adobe] Complete in Addition to ACORD Application |
| Liquor Liability Application - [editable, Adobe] |
| Liquor Supplement - [editable, Adobe] |
| New Ventures Supplemental Questionnaire - [editable, Adobe] Complete in Addition to ACORD Application |
| Contractor's Questionnaire - [editable, Adobe] |
| Garage Application - [editable, Adobe] |
| Habitational Supplemental Questionnaire - [editable, Adobe] Complete in Addition to ACORD Application |
| Special Events Coverage Application - [editable, Adobe] |
| Umbrella Application - [editable, Adobe] |
| Motorcycle Supplement - [editable, Adobe] |
| RV Supplement - [editable, Adobe] |
| C.O.C New Construction - [editable, Adobe] Residential Dwellings Only |
| C.O.C Remodel - [editable, Adobe] Residential Dwellings Only |
| “Remodel value only. Application, current photographs, and copy of work order required.” |
| Employment Practices Liability Application - [editable, Adobe] |
| ACORD 130 Workers Compensation Application - [editable, Adobe] |
| Workers' Compensation Supplemental Application - [editable, Adobe] |
| Haunted House and Maze Supplemental Application - [editable, Adobe] |
| Heavy Truck/ Trailer Supplement - [editable, Adobe] |
| Valet Parking Supplement - [editable, Adobe] |
| ACORD 28 Evidence of Commercial Property Insurance - [editable, Adobe] |
| ACORD 25 Certificate of Liability Insurance - [editable, Adobe] |
| |
Personal Lines Return to Top
|
| ACORD - Homeowner Application -[editable, Adobe] |
| ACORD Dwelling Fire Application -[editable, Adobe] |
| ACORD Property Loss Notice -[editable, Adobe] |
| ACORD California Residential Property Insurance Disclosure -[editable, Adobe] |
| ACORD Personal Policy Change Request (Except Auto) -[editable, Adobe] |
| ACORD California Offer of Earthquake -[editable, Adobe] |
| ACORD Personal Inland Marine -[editable, Adobe] |
| ACORD Personal Umbrella -[editable, Adobe] |
| Homeowner’s Questionnaire -[editable, Adobe] |
| |
| Lexington |
| |
Binding Requirements |
|
| Lexington Homeowners/ Dwelling Program Application -[editable, Adobe] - Please complete this application for Lexington submissions |
| Lexingto Elite Application for Builder's Risk -[editable, Adobe] |
| Lexington Supplemental ACORD Application -[editable, Adobe] - This form can be used to supplement an ACORD Application |
| Lexington Underwriting Guidelines -[Adobe] |
| Builder’s Risk Supplemental Application -[editable, Adobe] |
| Lexington Supplemental Corporate Named Insured Questionnaire -[editable, Adobe] |
| |
| Lloyds |
| |
Binding Requirements |
|
| Lloyds Corp Supplemental -[editable, Adobe] |
| Supplemental Heating Questionaire -[editable, Adobe] |
| ACORD Mobile Home Application -[editable, Adobe] |
| Lloyds Homeowner Guidelines -[Adobe] |
| Lloyds Dwelling Fire Guidelines -[Adobe] |
| |
| Safeco |
| |
| Safeco Supplemental Questionnaire -[editable, Adobe] - This form can be used to supplement an ACORD Application. |
| Safeco Home & Dwelling Fire Underwriting Guidelines -[Adobe] |
| |
| Travelers |
| |
Binding Requirements |
|
| Travelers Home and Dwelling Fire Supplement -[editable, Adobe] |
| Travelers Homeowners Endorsements -[Adobe] |
| Travelers Homeowners Guidelines-[Adobe] |
| Travelers Homeowners Quick Qualifier -[editable, Adobe] |
| Travelers Alternate Heating Questionnaire -[editable, Adobe] |
| Travelers Boat / Yacht “Quick Quote” Application – “Boats Under 30’ ONLY” -[editable, Adobe] |
| Travelers Yacht Application -[editable, Adobe] |
| Travelers Boat/Yacht Application - “Boats Under 30’ ONLY” -[editable, Adobe] |
| |
| TOPA |
| |
Binding Requirements |
|
| TOPA Home Application-[Adobe] |
| TOPA Fire Dwelling Application-[Adobe] |
| TOPA Acord Supplemental Application -[editable, Adobe] |
| TOPA Replacement Cost and Earthquake Disclosures -[editable, Adobe] |
| TOPA Home EQ Rates -[Adobe] |
| TOPA Fire Dwelling EQ Rates -[Adobe] |
| Water Disclosure Form -[editable, Adobe] |
| TOPA Race Gender Form -[editable, Adobe] |
| TOPA Homeowners Guidelines-[Adobe] |
| TOPA Dwelling Fire Guidelines.-[Adobe] |
| |
Auto
Return to Top
|
| TRAVELERS- Preferred |
|
| |
Quoting Requirements |
Binding Requirements |
|
| ACORD California Personal Auto Application -[editable, Adobe] |
| Acord Ca. Auto Supplement (Uninsured Motorist Reduction/ Waiver) -[editable, Adobe] |
| Named Driver Exclusion -[editable, Adobe] |
| Good Student/ Driver Training -[editable, Adobe] |
| EFT Enrollment Form -[Adobe] |
| Accident and Comprehensive Loss Detail Form -[editable, Adobe] |
| ACORD Personal Auto Policy Change Request -[editable, Adobe] |
| Travelers Auto Guidelines -[ Adobe] |
| Privacy Policy Notice - [Adobe] |
| |
| FIC – UNITRIN SPECIALTY – Non-Standard Programs |
| |
Quoting Requirements |
Binding Requirements |
|
| Uninsured Motorist Rejection/ Reduction Form -[Adobe] |
| Driver Exclusion Form -[Adobe] |
| Additional Equipment Form -[Adobe] |
| Credit Card Authorization Form -[Adobe] |
| Automatic Withdrawal/ EFT Authorization -[Adobe] |
| Domestic Partnership Affidavit -[Adobe] |
| FIC-Unitrin Auto Guidelines -[Adobe] |
| |
|
| SAFECO- Preferred & Standard Programs |
|
| |
Quoting Requirements |
Binding Requirements |
|
| ACORD California Personal Auto Application -[editable, Adobe] |
| Supplement to ACORD Application -[editable, Adobe] |
| Uninsured Motorist Reduction/ Waiver -[ Adobe] |
| Driver Exclusion -[ Adobe] |
| ACORD Good Student/ Driver Training -[editable, Adobe] |
| ACORD Personal Auto Policy Change Request -[editable, Adobe] |
| Privacy Notification -[Adobe] |
| Choicepoint Important Notice -[Adobe] |
| Mandatory Coverage Offer -[Adobe] |
| Safeco Auto Guidelines -[Adobe] |
| Automatic Deduction Authorization -[Adobe] |
| |
Miscellaneous Return to Top
|
| Arizona SL-2 [Adobe] |
| SL-2 -[editable, Adobe] |
| SL-2 Instructions -[Adobe] |
| D-1 Form -[Adobe] |
| Agent / Broker of Record Change -[editable, Adobe] |
| California Department of Insurance Race, National Origin & Gender Form -[editable, Adobe] |
| Cancellation Request / Policy Release -[editable, Adobe] |
| Flood Insurance Application -[editable, Adobe] |
| Evidence of Insurance -[editable, Adobe] |
| |
|
|
|
