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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 & CampgroundsApr 24, 2019
      Pool SupplementalDec 22, 2015
      Policy Request FormMar 21, 2018
      Personal Liability Supplement FormMar 3, 2017
      Participant Accident Beneficiary DesignationApr 27, 2010
      Outfitters & GuidesApr 24, 2019
      Outdoor Sporting AssociationsJun 19, 2018
      Liquor Supplement FormOct 26, 2017
      Inflatable Amusement Devices SupplementalNov 22, 2016
      Hunting & Shooting RisksApr 24, 2019
      Horseback Riding SupplementalDec 22, 2015
      Dude RanchesApr 24, 2019
      Dog TrialsJun 19, 2018
      Destination Resorts/LodgesApr 24, 2019
      Crime Supplement FormApr 13, 2018
      Bed & BreakfastApr 24, 2019
      ATV/Snowmobile/Golf Cart SupplementalMar 10, 2017
      Archery Range ApplicationJun 19, 2018
      Additional Insured SupplementalFeb 10, 2016
      Abuse & Molestation Coverage SupplementalDec 22, 2015

      AnimalKeepers

       
      Type/StateForm Name PostedDownload
      Policy Request FormMar 21, 2018
      Multi-StateAnimalKeepers Renewal SurveyJan 24, 2019
      Multi-StateAnimalKeepers Application FormMay 16, 2019
      Multi-StateAbuse & Molestation Coverage SupplementalMar 14, 2018

      ASIP

       
      Type/StateForm Name PostedDownload
      GeneralPolicy Request FormMar 21, 2018
      GeneralCrime Supplement FormJun 19, 2018
      Multi-StateVehicle Supplement FormJun 19, 2018
      Multi-StateProperty Supplement FormJun 19, 2018
      Multi-StateInsurance Renewal FormJun 19, 2018
      Multi-StateInsurance Application FormJun 19, 2018

      Bar, Tavern, and Club

       
      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

      Benefits

       
      Type/StateForm Name PostedDownload
      Policy Request FormMar 21, 2018
      FloridaAccident & Health 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 15, 2019
      GeneralAccident & Health Policy Request Form
      IllinoisAccident & Health Application FormMar 1, 2017
      KansasAccident & Health Application FormMar 1, 2017
      MarylandAccident & Health Application FormMar 1, 2017
      MissouriAccident & Health Application FormMar 1, 2017
      MontanaAccident & Health Application FormMar 1, 2017
      Multi-StateAccident & Health Renewal FormMar 1, 2017
      Multi-StateAccident & Health Application FormMar 1, 2017
      Multi-State24 Hour AD&D Application FormMar 14, 2018
      New YorkAccident & Health Application FormJun 19, 2018
      UtahAccident & Health Application FormMar 1, 2017

      Brokers

       
      Type/StateForm Name PostedDownload

      Car Wash

       
      Type/StateForm Name PostedDownload
      Policy Request FormMar 21, 2018
      Multi-StateProperty SupplementMar 2, 2017
      Multi-StateInsurance Application FormMar 2, 2017

      ESIP

       
      Type/StateForm Name PostedDownload
      GeneralPolicy Request FormMar 21, 2018
      GeneralLiquor Supplement FormMar 14, 2018
      GeneralDispatch Supplement FormMar 14, 2018
      GeneralCyber Liability ApplicationAug 1, 2014
      GeneralCrime Supplement FormMar 14, 2018
      Multi-StateVehicle Supplement FormJan 18, 2019
      Multi-StateProperty Supplement FormMar 14, 2018
      Multi-StateInsurance Renewal FormJun 19, 2018
      Multi-StateInsurance Application FormMar 14, 2018
      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 FormMar 21, 2018
      MaineSuppression, Extinguisher & Alarm Contractor Application
      Multi-StateSuppression, Extinguisher & Alarm Contractor ApplicationJun 1, 2013
      Multi-StateFireWatch Renewal ApplicationJan 25, 2019
      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 FormMar 21, 2018
      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 FormMar 21, 2018
      Multi-StateInsurance Renewal Form
      Multi-StateInsurance Application Form

      Endorsement Forms

       
      Form NamePostedDownload
      Endorsement Request Form
      advensure animalkeepers 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 & 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