We are who we insure

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    AdvenSure

     
    Type/StateForm Name  PostedDownload
    Zip Line/Climbing Wall/Ropes Course SupplementalDec 22, 2015
    Waterslide SupplementalDec 22, 2015
    Watercraft SupplementalMar 17, 2016
    RV Park & Campground ApplicationFeb 25, 2020
    Pool SupplementalDec 22, 2015
    Personal Liability Supplement FormMar 3, 2017
    Participant Accident Beneficiary DesignationApr 27, 2010
    Outfitters & Guides ApplicationFeb 25, 2020
    Outdoor Sporting Associations ApplicationFeb 25, 2020
    Liquor Supplement FormOct 26, 2017
    Insurance Renewal FormFeb 25, 2020
    Inflatable Amusement Devices SupplementalNov 22, 2016
    Hunting & Shooting Risks ApplicationFeb 25, 2020
    Horseback Riding SupplementalDec 22, 2015
    Dude Ranch ApplicationFeb 25, 2020
    Dog Trial and Test ApplicationFeb 25, 2020
    Destination Resorts/Lodges ApplicationFeb 25, 2020
    Crime Supplement FormApr 13, 2018
    Bed & Breakfast ApplicationFeb 25, 2020
    ATV/Snowmobile/Golf Cart SupplementalMar 10, 2017
    Archery Range ApplicationFeb 25, 2020
    Additional Insured SupplementalFeb 10, 2016
    Abuse & Molestation Coverage SupplementalDec 22, 2015

    AnimalKeepers

     
    Type/StateForm Name  PostedDownload
    Multi-StateInsurance Renewal FormFeb 25, 2020
    Multi-StateInsurance Application FormFeb 25, 2020
    Multi-StateAbuse & Molestation Coverage SupplementalMar 14, 2018

    ASIP

     
    Type/StateForm Name  PostedDownload
    GeneralCrime Supplement FormJun 19, 2018
    Multi-StateVehicle Supplement FormJun 19, 2018
    Multi-StateProperty Supplement FormJun 19, 2018
    Multi-StateInsurance Renewal FormFeb 25, 2020
    Multi-StateInsurance Application FormFeb 25, 2020

    Bar, Tavern, and Club

     
    Type/StateForm Name  PostedDownload
    Multi-StateInsurance Renewal FormFeb 25, 2020
    Multi-StateInsurance Application FormFeb 25, 2020
    Multi-StateHookah Supplement FormFeb 25, 2020
    Multi-StateBusiness Auto Supplement FormMar 2, 2017

    Benefits

     
    Type/StateForm Name  PostedDownload
    FloridaAccident & Health Application FormFeb 25, 2020
    GeneralGroup Term Life Insurance Request for ProposalMar 15, 2019
    GeneralFor LOSAP please contact Pat Daglio (x511)Sep 27, 2019
    IllinoisAccident & Health Application FormFeb 25, 2020
    KansasAccident & Health Application FormFeb 25, 2020
    MarylandAccident & Health Application FormFeb 25, 2020
    MissouriAccident & Health Application FormFeb 25, 2020
    MontanaAccident & Health Application FormFeb 25, 2020
    Multi-StateAccident & Health Renewal FormFeb 25, 2020
    Multi-StateAccident & Health Application FormFeb 25, 2020
    Multi-State24 Hour AD&D Application FormFeb 25, 2020
    New YorkAccident & Health Application FormFeb 25, 2020
    UtahAccident & Health Application FormFeb 25, 2020

    Brokers

     
    Type/StateForm Name  PostedDownload

    Car Wash

     
    Type/StateForm Name  PostedDownload
    Multi-StateProperty Supplement FormMar 2, 2017
    Multi-StateInsurance Application FormFeb 25, 2020

    ESIP

     
    Type/StateForm Name  PostedDownload
    GeneralLiquor Supplement FormMar 14, 2018
    GeneralDispatch Supplement FormMar 14, 2018
    GeneralCyber Liability ApplicationNov 4, 2019
    GeneralCrime Supplement FormMar 14, 2018
    Multi-StateVehicle Supplement FormJan 18, 2019
    Multi-StateProperty Supplement FormMar 14, 2018
    Multi-StateInsurance Renewal FormFeb 25, 2020
    Multi-StateInsurance Application FormFeb 25, 2020
    Multi-StateAssociation Supplement FormMar 9, 2017

    FireWatch

     
    Type/StateForm Name  PostedDownload
    Multi-StateSuppression, Extinguisher & Alarm Contractor ApplicationFeb 25, 2020
    Multi-StateRenewal Application FormFeb 25, 2020
    Multi-StateEmergency Apparatus & Equipment Dealers ApplicationFeb 25, 2020

    HOMed

     
    Type/StateForm Name  PostedDownload
    FloridaInsurance Application FormFeb 25, 2020
    GeneralSurety Bond Form
    Multi-StateInsurance Renewal FormFeb 25, 2020
    Multi-StateInsurance Application Form - O&PFeb 25, 2020
    Multi-StateInsurance Application FormFeb 25, 2020
    Multi-StateCrime Supplement FormFeb 25, 2020
    Multi-StateBusiness Auto Supplement FormFeb 25, 2020

    O&P Plus

     
    Type/StateForm Name  PostedDownload
    GeneralSurety Bond Application
    Multi-StateInsurance Application FormFeb 25, 2020

    WildPRO

     
    Type/StateForm Name  PostedDownload
    Multi-StateProperty Supplement FormFeb 25, 2020
    Multi-StateInsurance Renewal FormFeb 25, 2020
    Multi-StateInsurance Application FormFeb 25, 2020
    Multi-StateBusiness Auto Supplement FormFeb 25, 2020

    Endorsement Forms

     
    Form NamePostedDownload
    Endorsement Request Form
    advensure animalkeepers asip benefits car-wash esip firewatch homed o&p-plus wildpro
    Mar 2, 2017

    Claims Forms

     
    Form NamePostedDownload
    The Standard Life Insurance Company - Group Life Proof of Loss
    benefits
    Standard Security VFD - Group Life
    benefits
    First Reliance Standard - Group Life Proof of Loss
    benefits
    Health Care Providers Form (3-75)
    benefits
    Arch Insurance Accident & Sickness Beneficiary Form
    benefits
    May 30, 2014
    Accident & Health Claimant Form (3-50)
    benefits
    Jan 17, 2019
    The Standard Life Insurance Company - Group Life Proof of Loss (New York)
    benefits
    Health Care Providers Form (New York 3-75)
    benefits
    Accident & Health Cancer Claimant Form - NY
    benefits
    Jan 17, 2019
  • E-Learning

     

    E-Learning Copy

    Our E-Learning platform is available 24/7 to meet the needs of the student. These online courses are offered free of charge to our insureds. Additional classes are being developed on a regular basis, so check back often to see new opportunities.
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  • Our Programs

     

    Our Programs

    We offer some of the most comprehensive insurance coverages in the industry. Let us propose a customized insurance package for your organization.
  • Questions?

     

    Questions

    Have questions about your policy, want more info on our programs or need to be put in touch with a local agent? Contact us today and we'll be glad to assist you!
  • Contact Us

     

    Contact Us

    800.822.3747

    info@mcneilandcompany.com

    67 Main St
    Cortland, NY13045