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      AdvenSure

       
      Type/StateForm Name PostedDownload
      Zip Line/Climbing Wall/Ropes Course SupplementalDec 22, 2015
      Wildfire Supplemental - ADSep 24, 2021
      Waterslide SupplementalDec 22, 2015
      Watercraft SupplementalMar 17, 2016
      RV Park & Campground ApplicationFeb 25, 2020
      Pool SupplementalDec 22, 2015
      Personal Liability Supplement FormMay 8, 2020
      Participant Accident Beneficiary DesignationApr 27, 2010
      Participant Accident ApplicationMay 13, 2020
      Outfitters & Guides ApplicationFeb 25, 2020
      Outdoor Sporting Associations ApplicationFeb 25, 2020
      Liquor Supplement Form - ADFeb 12, 2021
      Insurance Renewal Form - ADNov 5, 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
      Cyber Liability Application - ADApr 24, 2020
      Crime Supplement Form - ADFeb 12, 2021
      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-StateVeterinarian and Pet Care BOPSep 24, 2021
      Multi-StateInsurance Renewal FormFeb 25, 2020
      Multi-StateInsurance Application Form - AKApr 23, 2020
      Multi-StateCyber Liability Application - AKApr 24, 2020
      Multi-StateAbuse & Molestation Coverage SupplementalMar 14, 2018

      ASIP

       
      Type/StateForm Name PostedDownload
      GeneralCrime Supplement Form - ASIPFeb 12, 2021
      Multi-StateVehicle Supplement FormJun 19, 2018
      Multi-StateProperty Supplement FormApr 23, 2020
      Multi-StateInsurance Renewal FormFeb 25, 2020
      Multi-StateInsurance Application Form - ASIPApr 23, 2021
      Multi-StateCyber Liability Application - ASIPApr 24, 2020

      Bar, Tavern, and Club

       
      Type/StateForm Name PostedDownload
      Multi-StateInsurance Renewal FormMar 10, 2020
      Multi-StateInsurance Application Form - BTCJan 20, 2021
      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 Mark Nash (x181)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

      ESIP

       
      Type/StateForm Name PostedDownload
      FloridaInsurance Application Form - ESIP - FLNov 4, 2020
      GeneralLiquor Supplement Form - ESIPFeb 12, 2021
      GeneralDispatch Supplement FormMar 14, 2018
      GeneralCyber Liability Application - ESIPApr 24, 2020
      GeneralCrime Supplement Form - ESIPMar 19, 2021
      IllinoisInsurance Application Form - ESIP - ILNov 4, 2020
      IndianaInsurance Renewal Form - ESIP - INNov 5, 2020
      IndianaIndiana Townships Supplement FormOct 6, 2021
      KansasInsurance Application Form - ESIP - KSNov 4, 2020
      MarylandInsurance Application Form - ESIP - MDNov 4, 2020
      MissouriInsurance Application Form - ESIP - MONov 4, 2020
      MontanaInsurance Application Form - ESIP - MTNov 4, 2020
      Multi-StateVehicle Supplement FormApr 23, 2020
      Multi-StateProperty Supplement FormApr 23, 2020
      Multi-StateInsurance Renewal Form - ESIPNov 5, 2020
      Multi-StateInsurance Application Form - ESIPNov 4, 2020
      Multi-StateCareer Ambuance Supplement Form - ESIPNov 8, 2021
      Multi-StateAssociation Supplement FormMar 9, 2017
      New YorkInsurance Application Form - ESIP - NYNov 4, 2020
      New YorkInsurance Application Form - CancerOct 11, 2021
      UtahInsurance Application Form - ESIP - UTNov 4, 2020

      FireWatch

       
      Type/StateForm Name PostedDownload
      Multi-StateSuppression, Extinguisher & Alarm Contractor ApplicationNov 18, 2020
      Multi-StateInsurance Renewal FormFeb 25, 2020
      Multi-StateEmergency Apparatus & Equipment Dealers ApplicationNov 18, 2020
      Multi-StateCyber Liability Application - FWApr 24, 2020
      Multi-StateCrime Supplement Form - FWFeb 12, 2021

      HOMed

       
      Type/StateForm Name PostedDownload
      FloridaInsurance Application Form - HOMed - FLMar 19, 2021
      GeneralSurety Bond Form
      Multi-StateInsurance Renewal FormFeb 25, 2020
      Multi-StateInsurance Application Form - O&PMar 19, 2021
      Multi-StateInsurance Application Form - HOMedMar 19, 2021
      Multi-StateCyber Liability Application - HOMedApr 24, 2020
      Multi-StateCrime Supplement Form - HOMedFeb 12, 2021
      Multi-StateBusiness Auto Supplement FormFeb 25, 2020

      O&P Plus

       
      Type/StateForm Name PostedDownload
      GeneralSurety Bond Application
      Multi-StateInsurance Application Form - O&PApr 24, 2020

      WildPRO

       
      Type/StateForm Name PostedDownload
      Multi-StateWildfire Supplemental - WPSep 24, 2021
      Multi-StateProperty Supplement FormMar 10, 2020
      Multi-StateInsurance Renewal FormMar 10, 2020
      Multi-StateInsurance Application Form - WPMar 10, 2020
      Multi-StateCyber Liability Application - WPApr 24, 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
      		Nov 5, 2020
      Blanket Accidental Dismemberment Claim Form
      benefits
      		Dec 21, 2020
      Blanket Accidental Death Claim Form
      benefits
      		Dec 21, 2020
      Blanket Accident Medical Expense Claim Form
      benefits
      		Dec 21, 2020
      Arch Insurance Accident & Sickness Beneficiary Form
      benefits
      		May 30, 2014
      Accident & Health Claimant Form (3-50)
      benefits
      		Nov 5, 2020
      The Standard Life Insurance Company - Group Life Proof of Loss (New York)
      benefits
      Health Care Providers Form (New York 3-75)
      benefits
      		Nov 5, 2020
      Accident & Health Cancer Claimant Form - NY
      benefits
      		Mar 3, 2021

    • 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