Abram Interstate Insurance Services, Inc., CMGA

Helping Independent Insurance Agents Since 1996

Forms & Applications

For the fastest response, chat now!

Property Loss Notice »

For your convenience you can complete and submit our forms online if using Internet Explorer or download applications with Adobe Acrobat Reader® and send to:

Quote Requests: apps@abraminterstate.com
Bind Requests: binds@abraminterstate.com
Service Requests: service@abraminterstate.com
Lloyds of London 1st Report of Loss Click Here

As an option, you may fax a completed form to 916.780.7181

Accounting

Equine Mortality

Farm / Ranch

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Commercial Lines

Commercial Property and Casualty Quick Quote – Indication ONLY

ACORD Forms

Commercial Auto ACORD Applications

Other Forms

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Personal Lines

 

AU Gold

 

Chubb

 

Lloyds of London

  • Binding Instructions: Fax or Email your request to bind with the following:

 

Safeco

 

Travelers

  • Binding Instructions: Fax or Email your request to bind with the following:

 

TOPA

  • Binding Instructions: Fax or Email your request to bind with the following:
    • Send money to Abram Interstate within 7 days
    • If FSC quote, submit signed FSC quote.

Auto

 

TRAVELERS- Preferred

  • Binding Instructions: Once approval from Account Manager received, Fax or Email your request to bind with the following:
    • ACORD 90 CA – Personal Auto Application (signed by Named Insured and Agent)
    • Any additional supplemental forms to support discounts or rating – UM waiver, driver exclusions, proof of discounts
    • Premium for down payment or full premium by either agency sweep, customers check or customers credit card
    • EFT requires completed & signed EFT authorization form with voided check
  • Quoting Instructions: Fax ACORD Personal Auto Application to 916.780.7181 or Email application to apps@abraminterstate.com If obtained, include:
    • FSC quote (if applicable)
    • MVR’s
    • CLUE Reports
    • Proof of discounts being offered
    • Please note: An accurate rate requires VIN and Driver License numbers

 

Kemper Specialty – Non-Standard Programs

  • Quoting Instructions: Fax ACORD Personal Auto Policy Change Request to 916.780.7181 or Email application to apps@abraminterstate.com If obtained, include:
    • FSC quote (if applicable)
    • MVR’s
    • CLUE Reports
    • Proof of discounts being offered
    • Please note: An accurate rate requires VIN and Driver License numbers Quote & Bind directly with this carrier! Click on the link below to complete an application for direct access through Abram Interstate

 

SAFECO- Preferred & Standard Programs

Binding Instructions:

  • Fax or email the Safeco application provided at the time of quote request signed by both named insured and agent with request to bind.
  • Include any supplemental paperwork requested with your quote approval from Abram.
  • Visit our “forms” section on abraminterstate.com for supplemental forms.
  • Down payment by customer credit card, customer’s check, or agency trust check.

Quoting Instructions: Please note: An accurate rate requires VIN and Driver License numbers

 

Commerce West Insurance – Preferred Auto, Non-standard, and Nation Safe Driver Programs

Binding Instructions:

  • Fax or email Commerce West Application (signed by both named insured and producer) with request to bind.
  • Include any supplemental paperwork requested with your quote approval from Abram.
  • Down payment by agency trust check.

Quoting Instructions: Please note: An accurate rate requires VIN and Driver License numbers Quote & Bind directly with this carrier! Click on the link below to complete an application for direct access through Abram Interstate:

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Miscellaneous