Forms

Forms may be submitted by either:

a) Typing the required information in the gray boxes on the form, printing the completed form, and faxing it to 888-329-8842

or
b) Print the form first, handwrite in the necessary information, and fax it to 888-329-8842


Personal Insurance Forms:

-Auto Claim
-General Liability Claim
-Property Claim

-Request Change of Broker Record
(Please type in your information in the gray boxes provided, print and mail to your current insurance carrier)

Business Forms:
-Auto Claim
-General Liability Claim
-MVR Release
(If you are a business owner please have your employee(s) type in their information in the gray boxes provided. Once completed the form can be printed for the employee(s) signature and date of completion. The form can be returned via fax 559-440-9752 or mail to PO Box 27020, Fresno, CA 93729-7020)
-Property Claim Form
-Request Change of Broker of Record
(Please type in your information in the gray boxes provided, print and mail to your current insurance carrier)
-Request of Loss Runs
(Please type in your information in the gray boxes provided, print and mail to your current insurance carrier)