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AMIS Program Insurance Applications

This page contains many of the applications that can be found on our website. 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.

KEY: 
App- Application
Broc- Brochure
Que- Questionnaire
Spec- Specimen
Earth- Web Page Link
* - Additional
   Requirements

Application Information

All the applications below must be completed on your computer or typed. We must be able to read the application clearly. To receive a quotation, 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. Click on the large asterisk, where it is displayed on the line with the application.

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.

AMIS General Liability and E&O Applications

Accident Reconstructionists & InvestigatorsOffered by AMISOffered by AMISGet the Accident Reconstructionist Insurance ApplicationGo to the Private Investigator Programs Web Page
Alarm & Safety Equipment Insurance AppOffered by AMISOffered by AMISGet the AMIS Alarm Safety Equipment ApplicationGo to the Alarm Programs Web Page
Armored Car Liability ApplicationOffered by AMISOffered by AMISGet the Great American Armored Car Cargo ApplicationGo to the Armored Car Programs Web Page
Fire Suppression Contractors Insurance AppOffered by AMISOffered by AMISGet the AMIS Fire Suppression Contractors Insurance ApplicationGo to the page that describes this program
Glazier Insurance ApplicationOffered by AMISOffered by AMISGet the AMIS Glazier Insurance ApplicationGo to the Glazier Programs Web Page
Insurance Adjusters & Claim Adjusters AppOffered by AMISOffered by AMISGet the Insurance Adjuster Coverage ApplicationGo to the Private Investigator Programs Web Page
Janitorial Services/Building Mtce Insurance AppOffered by AMISOffered by AMISGet the Janitorial Services Insurance/Building Maintenance Insurance AppGo to the Janitorial/Building Maintenance Services Programs Web Page
Private Investigator & Adjuster Insurance AppOffered by AMISOffered by AMISGet the AMIS PI & Adjuster Insurance ApplicationGo to the Private Investigator Programs Web Page
Security Guard & Private Investigator InsuranceOffered by AMISOffered by AMISGet the AMIS Security Investigator Insurance ApplicationGo to the Security Guard Programs Web Page

Excess/Umbrella Applications

Commercial Umbrella Section Insurance AppOffered by AMISOffered by AMISGet the AMIS Commercial Umbrella Insurance ApplicationGo to the Business Programs Web Page

Non-Profit Program Applications

General Church Insurance ApplicationOffered by AMISOffered by AMISGet the AMIS Church Insurance ApplicationGo to the Church Programs Web Page
General School Insurance ApplicationOffered by AMISOffered by AMISGet the AMIS School Insurance ApplicationGo to the School Programs Web Page
Religious Organization Supplemental ApplicationOffered by AMISOffered by AMIS from Philadelphia Insurance CompaniesGet the Religious Organization Supplemental Application from Philadelphia Insurance CompaniesGo to the Church Insurance Programs Web Page
Non-Profit D&O Insurance ApplicationOffered by AMISOffered by AMIS from Lexington.Get the Lexington Not For Profit DO Insurance ApplicationGo to the Non-Profit Programs Web Page

Special Coverage Applications

Armored Car Cargo ApplicationOffered by AMISOffered by Great American from AMISGet the Great American Armored Car Cargo ApplicationGo to the Armored Car Programs Web Page
CrimeShield Insurance (Limits over $1,000,000)Offered by AMISOffered by The Hartford from AMISGet the Hartford CrimeShield Insurance Application
CrimeShield Insurance (Limits under $1,000,000)Offered by AMISOffered by The Hartford from AMISGet this Hartford CrimeShield Insurance Application
Ocean Cargo Insurance ApplicationOffered by AMISOffered by The Hartford from AMISGet the Hartford Ocean Cargo Insurance ApplicationGet the Hartford Quote Marine FlyerGet the Hartford Builders Risk Coverage AnalyzerGet the Hartford Installation Coverage AnalyzerGet the Hartford Ocean Cargo Coverage AnalyzerGet the Hartford Ocean Cargo GlossaryGo to the Marine Insurance Web Page

Technology Business Application

Technology Business Insurance ApplicationOffered by AMISOffered by The Hartford from AMISGet the Hartford Technology Business BrochureGet the Hartford Technology & Software Service Providers BrochureGet the Hartford Technology Stretch Options InformationGet the Hartford FailSafe Sample of AccountsGo to the Technology Business Web Page

Management Applications

D&O − EPLI − Fiduciary & Misc. E&O InsuranceOffered by AMISOffered by The Hartford from AMISGet the Hartford Private Choice Encore ApplicationGet the Private Choice Encore! BrochureGet the Management Liability Claim Scenarios InformationGet the Employment Practices Risk Management Information SheetGet the Directors & Officers Liability Insurance BrochureGet the Fiduciary Liability Insurance BrochureGo to the Business Programs Web Page
General Liability & Property Insurance AppOffered by AMISOffered by AMISGet the AMIS General Liability and Property Insurance Application
National Union PrivateRisk Protector Ins AppOffered by AMISOffered by AIG from AMISThis Application is for Annual Revenue up to $25 MillionThis Application is for Annual Revenue over $25 MillionGet the AIG National Union PrivateRisk Protector SpecimanGet the AIG National Union PrivateRisk Protector Brochure
Surety BondsOffered by AMISOffered by AMISGet the CNA Surety Bond ApplicationGet the Hartford Commercial Surety Bond ApplicationGo to the Bonds Web Page

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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