Forms

Rejection Forms by State

GACS - application for the Georgia Association of Convenience Stores (typically requested with the c-store questionnaire)
Deductible Form - to request a deductible
Arbitration A and Arbitration D - forms for the Alabama Arbitration Agreement. We require these forms to be signed on all Alabama policies
FL Drug Free - Florida Drug Free Application (sent to all potential Florida risks)
ERM-14 - required for all entity name changes
ADA FORM ATTACHMENT - ADA Memorandum
ADA FORM - Health Questionnaire

Understanding Underwriting
In order to understand the nature of underwriting, please visit the New York Workers Compensation Board website with a page that discusses Understanding Underwriting. (Read More)

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