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 & CampgroundsMar 3, 2017
    Pool SupplementalDec 22, 2015
    Policy Request FormJul 10, 2014
    Personal Liability Supplement FormMar 3, 2017
    Participant Accident Beneficiary DesignationApr 27, 2010
    Participant AccidentApr 13, 2017
    Outfitters & GuidesMar 3, 2017
    Liquor Supplement FormMar 3, 2017
    Inflatable Amusement Devices SupplementalNov 22, 2016
    Hunting & Shooting RisksMar 3, 2017
    Horseback Riding SupplementalDec 22, 2015
    Dude RanchesMar 3, 2017
    Dog TrialsMar 3, 2017
    Destination Resorts/LodgesMar 3, 2017
    Bed & BreakfastMar 3, 2017
    ATV/Snowmobile/Golf Cart SupplementalMar 10, 2017
    Archery Range ApplicationMar 6, 2017
    Additional Insured SupplementalFeb 10, 2016
    Abuse & Molestation Coverage SupplementalDec 22, 2015

    ASIP

     
    Type/StateForm Name  PostedDownload
    GeneralPolicy Request Form
    GeneralCrime Supplement FormMar 2, 2017
    Multi-StateVehicle Supplement FormMar 2, 2017
    Multi-StateProperty Supplement FormMar 2, 2017
    Multi-StateInsurance Renewal FormMar 2, 2017
    Multi-StateInsurance Application FormMar 2, 2017

    Benefits

     
    Type/StateForm Name  PostedDownload
    FloridaAccident & Sickness Application FormMar 1, 2017
    GeneralLOSAP Defined Contribution Entitlement ChecklistDec 12, 2014
    GeneralLOSAP Defined ContributionDec 12, 2014
    GeneralLOSAP Defined Benefit Entitlements Checklist - No Lump SumDec 12, 2014
    GeneralLOSAP Defined Benefit Entitlements Checklist - Lump SumDec 12, 2014
    GeneralLOSAP Defined BenefitDec 12, 2014
    GeneralGroup Term Life Insurance Request for ProposalMar 2, 2017
    GeneralAccident & Sickness Policy Request Form
    IllinoisAccident & Sickness Application FormMar 1, 2017
    KansasAccident & Sickness Application FormMar 1, 2017
    MarylandAccident & Sickness Application FormMar 1, 2017
    MissouriAccident & Sickness Application FormMar 1, 2017
    MontanaAccident & Sickness Application FormMar 1, 2017
    Multi-StateAccident & Sickness Renewal FormMar 1, 2017
    Multi-StateAccident & Sickness Application FormMar 1, 2017
    Multi-State24 Hour AD&D Application FormMar 1, 2017
    New YorkAccident & Sickness Application FormMar 1, 2017
    UtahAccident & Sickness Application FormMar 1, 2017

    Brokers

     
    Type/StateForm Name  PostedDownload

    Car Wash

     
    Type/StateForm Name  PostedDownload
    Multi-StateProperty SupplementMar 2, 2017
    Multi-StateInsurance Application FormMar 2, 2017

    ESIP

     
    Type/StateForm Name  PostedDownload
    GeneralPolicy Request Form
    GeneralLiquor Supplement FormMar 9, 2017
    GeneralDispatch Supplement FormMar 9, 2017
    GeneralCyber Liability ApplicationAug 1, 2014
    GeneralCrime Supplement FormMar 9, 2017
    Multi-StateVehicle Supplement FormMar 9, 2017
    Multi-StateProperty Supplement FormMar 9, 2017
    Multi-StateInsurance Renewal FormMar 9, 2017
    Multi-StateInsurance Application FormMar 1, 2017
    Multi-StateAssociation Supplement FormMar 9, 2017

    Excess & Surplus

     
    Type/StateForm Name  PostedDownload
    Multi-StateBar, Tavern and Club Insurance Renewal FormMar 9, 2017
    Multi-StateBar and Tavern Auto SupplementMar 2, 2017
    Multi-StateBar and Tavern ApplicationMar 2, 2017

    FireWatch

     
    Type/StateForm Name  PostedDownload
    GeneralPolicy Request Form
    MaineSuppression, Extinguisher & Alarm Contractor Application
    Multi-StateSuppression, Extinguisher & Alarm Contractor ApplicationJun 1, 2013
    Multi-StateFireWatch Renewal ApplicationMar 10, 2017
    Multi-StateEmergency Apparatus & Equipment Dealers ApplicationMar 10, 2017
    TexasSuppression, Extinguisher & Alarm Contractor Application

    HOMed

     
    Type/StateForm Name  PostedDownload
    FloridaInsurance Application FormDec 27, 2012
    GeneralSurety Bond Form
    GeneralPolicy Request Form
    Multi-StateInsurance Renewal Form
    Multi-StateInsurance Application Form - O&PAug 17, 2015
    Multi-StateInsurance Application FormMar 1, 2017
    Multi-StateCrime Supplement Form
    Multi-StateBusiness Auto Supplement Form

    O&P Plus

     
    Type/StateForm Name  PostedDownload
    GeneralSurety Bond Application
    GeneralPolicy Request Form
    Multi-StateInsurance Application Form

    WildPRO

     
    Type/StateForm Name  PostedDownload
    GeneralPolicy Request Form
    Multi-StateInsurance Renewal Form
    Multi-StateInsurance Application Form

    Endorsement Forms

     
    Form NamePostedDownload
    Endorsement Request Form
    advensure asip benefits car-wash esip excess-&-surplus 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 & Sickness Claimant Form (3-50)
    benefits
    The Standard Life Insurance Company - Group Life Proof of Loss (New York)
    benefits
    Health Care Providers Form (New York 3-75)
    benefits
    Accident & Sickness Claimant Form (New York 3-50)
    benefits
  • 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

    20 Church St
    Cortland, NY13045