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Submissions
To begin the submission process, please download the coverage specific supplemental forms and return along with loss runs and other pertinent information to:
Liquor Liability Submissions
For states: AZ, CA, FL, IL, IN, KS, KY, MI, MN, NJ, NV, OH, OK, OR, SD, TN, WI
All other liquor submissions should be sent to: [email protected]
Coverage Specific Supplemental Forms
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
- AutoEdge Sales and Service Supplemental Application
- Waiver of Subrogation
