Forms

Applications/Questionaires


Park Model Insurance Request Form
(Download, complete, and fax back 715-693-2538)

Travel Trailer Insurance Request Form
(Download, complete, and fax back 715-693-2538)

Business Income Report/Work Sheet
(Download, complete, and fax back 715-693-2538)

Employment Practices Liability
Insurance Application

(Download, complete, and fax back 715-693-2538) 

Lodging Questionnaire
(Download, complete, and fax back
715-693-2538)

Special Event Questionnaire
(Download, complete, and fax back 715-693-2538)

Automobile

Assignment of Motor Vehicle Lease
(Download, complete, and fax back 715-693-2538)

Claim Reports


Auto Claim Accident Report
(Download, complete, and fax back
715-693-2538) 

Property / Liability Incident Report
(Download, complete, and fax back
715-693-2538)

Information Requests


Certificate of Insurance request
(Download, complete, and fax back
715-693-2538)

Evidence of Property Insurance Request
(Download, complete, and fax back 715-693-2538)

Policy changes


Client Contact Information Change Form
(Download, complete, and fax back
715-693-2538)

Property Change Form - Personal or Commercial

(Download, complete, and fax back
715-693-2538)

Vehicle Change Form - Personal or Commercial
(Download, complete, and fax back
715-693-2538)

Workers Compensation

ERM14 Form

(Download, complete, and fax back 715-693-2538)

Employer's First Report of Injury or Disease
(Download, complete, and fax back 715-693-2538)

Election Form-WI Supplementary

(Download, complete, and fax back 715-693-2538)

Non-Election Form-WI Supplementary

(Download, complete, and fax back 715-693-2538)
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