February 25th, 2017

AMIS Specific Insurance Applications and Applications not found elsewhere

This page contains many of the applications that can be found on our various web pages. Please read all instructions carefully and fill out all forms completely. If you have any questions, please call us toll-free at (800) 843-8550.

Application Categories

Available applications in this category

Accident Reconstructionists & Investigators Application

Note: Clicking on the link below will open the insurance application form in a new browser window or tab.

Go get the PDF Application form
Available applications in this category

Accident Reconstructionists & Investigators Application

Additional Application Requirements: Along with the application, please fax us the Terrorism Form, a signed broker agreement, a copy of your broker license, and a copy of the declaration page of your E & O Insurance policy.

Note: Clicking on the links below will open the insurance application form or the web page for this program in a new browser window or tab.

Visit the web page for this program Go get the PDF Application form

Alarm & Safety Equipment Insurance Application

Additional Application Requirements: Along with your application, we will need a signed Broker Agreement, a copy of your Broker License, and a copy of the declaration page of your E & O Insurance policy.

Note: Clicking on the links below will open the insurance application form or the web page for this program in a new browser window or tab.

Visit the web page for this program Go get the PDF Application form

Armored Car Liability Application

Note: Clicking on the links below will open the insurance application form or the web page for this program in a new browser window or tab.

Visit the web page for this program Go get the PDF Application form

Fire Suppression Contractors Insurance Application

Note: Clicking on the links below will open the insurance application form or the web page for this program in a new browser window or tab.

Visit the web page for this program Go get the PDF Application form

Insurance Adjusters & Claim Adjusters Application

Additional Application Requirements: Along with the application, please fax us the Terrorism Form, a signed broker agreement, a copy of your broker license, and a copy of the declaration page of your E & O Insurance policy.

Note: Clicking on the links below will open the insurance application form or the web page for this program in a new browser window or tab.

Visit the web page for this program Go get the PDF Application form

Janitorial Services/Building Mtce Insurance Application

Note: Clicking on the links below will open the insurance application form or the web page for this program in a new browser window or tab.

Visit the web page for this program Go get the PDF Application form

Private Investigator & Adjuster Insurance Application

Additional Application Requirements: Along with the application, please fax us the Terrorism Form, a signed broker agreement, a copy of your broker license, and a copy of the declaration page of your E & O Insurance policy.

Note: Clicking on the links below will open the insurance application form or the web page for this program in a new browser window or tab.

Visit the web page for this program Go get the PDF Application form

Security Professionals & Private Investigator Insurance App

Additional Application Requirements: Along with your application, we will need a signed Broker Agreement, a copy of your Broker License, and a copy of the declaration page of your E & O Insurance policy.

Note: Clicking on the links below will open the insurance application form or the web page for this program in a new browser window or tab.

Visit the web page for this program Go get the PDF Application form
Available applications in this category

Employment Practices / D&O / Fiduciary Application

Note: Clicking on the links below will open the insurance application form or the web page for this program in a new browser window or tab.

Visit the web page for this program Go get the PDF Application form

Employment Practices Liability Application

Note: Clicking on the links below will open the insurance application form or the web page for this program in a new browser window or tab.

Visit the web page for this program Go get the PDF Application form

Fidelity Bond Application

Note: Clicking on the links below will open the insurance application form or the web page for this program in a new browser window or tab.

Visit the web page for this program Go get the PDF Application form

General Liability & Property Insurance Application

Additional Application Requirements: Along with the application, please fax us two photographs of your buildings, a diagram of your building, and a three (3) year loss history from your prior insurance company.

Note: Clicking on the links below will open the insurance application form or the web page for this program in a new browser window or tab.

Visit the web page for this program Go get the PDF Application form

Surety Bonds Applications

Note: Clicking on the links below will open the insurance application form or the web page for this program in a new browser window or tab.
Visit the web page for this program

Surety Bond Form 10 MKTG Hartford Commercial Surety Bond Application
Available applications in this category

Armored Car Cargo Application

Additional Application Requirements: Along with your application, we will need a signed Broker Agreement, a copy of your Broker License, and a copy of the declaration page of your E & O Insurance policy.

FOR − Mercantile and Governmental Classes of Business:

  1. Coverage Application (Choose one)
    • 125s ACORD General Info and 141s ACORD Crime
    • Surety Association Application for Forms A,B,O,P
    • Great American Insurance Companies? Commercial Crime Application
  2. Internal Controls Questionnaire
  3. Latest fiscal year end CPA Audit or Annual Report
  4. Latest CPA management letter and response
  5. Special Exposures and policy wording enhancements should be identified.

FOR − Financial Institution Classes of Business, Forms 24, 14,15, and 25:

  1. Coverage Application
    • Surety Association Application
    (Note: Other Companies' signed applications are usually acceptable)
  2. Internal Control Questionnaire
  3. (Please Note that a separate Financial Institution Internal Controls Questionnaire should be included if the application does not address Internal Controls in detail.)
  4. Financial Information
    • Latest Fiscal year end, CPA Audit or Annual Report
    • Latest CPA Management Letter and Response
    • 12-31 CALL Report
    • Latest Quarterly Call Report
  5. Special exposures and policy wording enhancements should be identified.

Application Notice: Additional Information MAY be required. Application requests do not guarantee automatic acceptance by Great American Insurance Companies.

Note: Clicking on the links below will open the insurance application form or the web page for this program in a new browser window or tab.

Application for limits OVER $1,000,000 Application for limits UNDER $1,000,000
Visit the web page for this program

Employed Lawyers Supplemental Liability Application

Note: Clicking on the link below will open the insurance application form in a new browser window or tab.

Go get the PDF Application form

Franchisors Supplemental Liability Application

Note: Clicking on the link below will open the insurance application form in a new browser window or tab.

Go get the PDF Application form

Miscellaneous Professional Liability Application

Note: Clicking on the links below will open the insurance application form or the web page for this program in a new browser window or tab.

Visit the web page for this program Go get the PDF Application form
Available applications in this category

General Church Insurance Application

Additional Application Requirements: Along with the application, please fax us two photographs of your buildings, a diagram of your building, and a three (3) year loss history from your prior insurance company.

Note: Clicking on the links below will open the insurance application form or the web page for this program in a new browser window or tab.

Visit the web page for this program Go get the PDF Application form

General School Insurance Application

Note: Clicking on the links below will open the insurance application form or the web page for this program in a new browser window or tab.

Visit the web page for this program Go get the PDF Application form

Non-Profit D&O Insurance Application

Note: Clicking on the links below will open the insurance application form or the web page for this program in a new browser window or tab.

Visit the web page for this program Go get the PDF Application form
Available applications in this category

Technology/Internet/Media Prof. Liability Application

Note: Clicking on the links below will open the insurance application form or the web page for this program in a new browser window or tab.

Visit the web page for this program Go get the PDF Application form

Application Instructions:

All the applications must be completed on your computer or typed. We must be able to read the application clearly. To receive a quote, please:

  • complete the application on your computer
  • print and sign it
  • fax all materials to our office at: (760) 471-9378 or (800) 573-8550 (Toll Free)

Additional requirements: Some applications have additional information requirements. Those requirement will be listed near the application link

To protect your privacy, please do not email the PDF forms to us. If you have a problem viewing the PDF forms, make sure you have the Adobe Reader - Version 7.0 or later.


NOTE: These applications are not insurance policies and do not bind any coverage. All applications must be underwritten and a quotation will be issued subject to underwriting guidelines. The quotation does not bind coverage.

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