We are who we insure

    • All Forms

      McNeil & Company 6:51 pm
       

    • Find A Form

       

      Begin typing in the search field to display relevant forms.

      AdvenSure

       
      Type/StateForm Name PostedDownload
      Zip Line/Climbing Wall/Ropes Course SupplementalAug 25, 2022
      Wildfire Supplemental - ADSep 9, 2022
      Waterslide SupplementalAug 25, 2022
      Watercraft SupplementalApr 25, 2022
      RV Park & Campground ApplicationAug 25, 2022
      Pool SupplementalAug 25, 2022
      Personal Liability SupplementAug 25, 2022
      Participant Accident Beneficiary DesignationApr 27, 2010
      Participant Accident ApplicationAug 24, 2022
      Outfitters & Guides ApplicationAug 25, 2022
      Outdoor Sporting Associations ApplicationAug 25, 2022
      Liquor Supplement Form - ADAug 25, 2022
      Insurance Renewal Form - ADAug 25, 2022
      Inflatable Amusement Devices SupplementalAug 25, 2022
      Hunting & Shooting Risks ApplicationAug 25, 2022
      Horseback Riding SupplementalAug 25, 2022
      Dude Ranch ApplicationAug 25, 2022
      Dog Trial and Test ApplicationAug 25, 2022
      Destination Resorts/Lodges ApplicationAug 25, 2022
      Crime Supplement Form - ADAug 25, 2022
      Bed & Breakfast ApplicationAug 25, 2022
      ATV/Snowmobile/Golf Cart SupplementalAug 25, 2022
      Archery Range ApplicationAug 25, 2022
      Additional Insured SupplementalAug 25, 2022
      Abuse & Molestation Coverage SupplementalAug 25, 2022
      GeneralSupplement - Special Tornado/Hail ConsiderationsMay 4, 2023
      GeneralSupplement - Special Earthquake ConsiderationsMay 4, 2023
      GeneralSupplement - Builders Risk - RenovationFeb 14, 2023
      GeneralSupplement - Builders Risk - New ConstructionFeb 14, 2023
      GeneralCyber Liability ApplicationAug 26, 2022

      AnimalKeepers

       
      Type/StateForm Name PostedDownload
      GeneralSupplement - Special Tornado/Hail ConsiderationsMay 4, 2023
      GeneralSupplement - Special Earthquake ConsiderationsMay 4, 2023
      GeneralSupplement - Builders Risk - RenovationFeb 14, 2023
      GeneralSupplement - Builders Risk - New ConstructionFeb 14, 2023
      GeneralCyber Liability ApplicationAug 26, 2022
      Multi-StateInsurance Renewal Form - AKAug 26, 2022
      Multi-StateInsurance Application Form - AKAug 26, 2022
      Multi-StateCrime Supplement Form - AKApr 19, 2023
      Multi-StateAbuse & Molestation Coverage Supplemental - AKAug 26, 2022

      ASIP

       
      Type/StateForm Name PostedDownload
      GeneralSupplement - Special Tornado/Hail ConsiderationsMay 4, 2023
      GeneralSupplement - Special Earthquake ConsiderationsMay 4, 2023
      GeneralSupplement - Builders Risk - RenovationFeb 14, 2023
      GeneralSupplement - Builders Risk - New ConstructionFeb 14, 2023
      GeneralCyber Liability ApplicationAug 26, 2022
      GeneralCrime Supplement Form - ASIPAug 26, 2022
      Multi-StateVehicle Supplement Form - ASIPAug 26, 2022
      Multi-StateProperty Supplement Form - ASIPAug 26, 2022
      Multi-StateInsurance Renewal Form - ASIPAug 26, 2022
      Multi-StateInsurance Application Form - ASIPAug 26, 2022

      Bar, Tavern, and Club

       
      Type/StateForm Name PostedDownload
      GeneralSupplement - Special Tornado/Hail ConsiderationsMay 4, 2023
      GeneralSupplement - Special Earthquake ConsiderationsMay 4, 2023
      GeneralSupplement - Builders Risk - RenovationFeb 14, 2023
      GeneralSupplement - Builders Risk - New ConstructionFeb 14, 2023
      Multi-StateInsurance Renewal Form - BTCAug 26, 2022
      Multi-StateInsurance Application Form - BTCApr 23, 2023
      Multi-StateHookah Supplement FormAug 26, 2022
      Multi-StateBusiness Auto Supplement Form - BTCAug 26, 2022

      Benefits

       
      Type/StateForm Name PostedDownload
      AlabamaAccident & Health Application Form - ALApr 20, 2023
      AlaskaAccident & Health Application Form - AKApr 20, 2023
      CaliforniaAccident & Health Application Form - CAApr 20, 2023
      FloridaAccident & Health Application Form - FLOct 17, 2022
      GeneralGroup Term Life Insurance Request for ProposalAug 26, 2022
      GeneralFor LOSAP please contact Mark Nash (x181)Sep 27, 2019
      GeneralAccident & Health Application Form - CountrywideApr 20, 2023
      IllinoisAccident & Health Application Form - ILOct 17, 2022
      KansasAccident & Health Application Form - KSOct 17, 2022
      MaineAccident & Health Application Form - MEApr 20, 2023
      MarylandAccident & Health Application Form - MDOct 17, 2022
      MichiganAccident & Health Application Form - MIApr 20, 2023
      MissouriAccident & Health Application Form - MOApr 20, 2023
      MontanaAccident & Health Application Form - MTOct 17, 2022
      Multi-StateAccident & Health Renewal FormOct 17, 2022
      Multi-StateAccident & Health Application FormOct 17, 0022
      Multi-State24 Hour AD&D Application FormAug 26, 2022
      NebraskaAccident & Health Application Form - NEApr 20, 2023
      New YorkESIP Cancer CensusDec 1, 2022
      New YorkAccident & Health Application Form - NYOct 17, 2022
      South CarolinaAccident & Health Application Form - SCApr 20, 2023
      UtahAccident & Health Application Form - UTOct 17, 2022
      VirginiaAccident & Health Application Form - VAApr 20, 2023

      Brokers

       
      Type/StateForm Name PostedDownload

      Car Wash

       
      Type/StateForm Name PostedDownload

      ESIP

       
      Type/StateForm Name PostedDownload
      FloridaInsurance Application Form - ESIP - FLAug 26, 2022
      GeneralSupplement - Builders Risk - RenovationFeb 14, 2023
      GeneralSupplement - Builders Risk - New ConstructionFeb 14, 2023
      GeneralLiquor Supplement Form - ESIPAug 26, 2022
      GeneralDispatch Supplement FormAug 26, 2022
      GeneralCyber Liability ApplicationAug 26, 2022
      GeneralCrime Supplement Form - ESIPAug 26, 2022
      IllinoisInsurance Application Form - ESIP - INAug 26, 2022
      IllinoisInsurance Application Form - ESIP - ILAug 26, 2022
      IndianaInsurance Renewal Form - ESIP - INAug 26, 2022
      IndianaIndiana Townships Supplement FormAug 26, 2022
      KansasInsurance Application Form - ESIP - KSAug 26, 2022
      MarylandInsurance Application Form - ESIP - MDAug 26, 2022
      MissouriInsurance Application Form - ESIP - MOAug 26, 2022
      MontanaInsurance Application Form - ESIP - MTAug 26, 2022
      Multi-StateVehicle Supplement Form - ESIPAug 26, 2022
      Multi-StateProperty Supplement Form - ESIPAug 26, 2022
      Multi-StateInsurance Renewal Form - ESIPAug 26, 2022
      Multi-StateInsurance Application Form - ESIPAug 26, 2022
      Multi-StateCareer Ambuance Supplement Form - ESIPAug 26, 2022
      Multi-StateAssociation Supplement FormAug 26, 2022
      New YorkInsurance Application Form - ESIP - NYAug 26, 2022
      New YorkInsurance Application Form - CancerDec 21, 2022
      New YorkESIP Cancer CensusDec 1, 2022
      UtahInsurance Application Form - ESIP - UTAug 26, 2022

      FireWatch

       
      Type/StateForm Name PostedDownload
      GeneralSupplement - Special Tornado/Hail ConsiderationsMay 4, 2023
      GeneralSupplement - Special Earthquake ConsiderationsMay 4, 2023
      GeneralSupplement - Builders Risk - RenovationFeb 14, 2023
      GeneralSupplement - Builders Risk - New ConstructionFeb 14, 2023
      GeneralCyber Liability ApplicationAug 26, 2022
      Multi-StateSuppression, Extinguisher & Alarm Contractor ApplicationAug 26, 2022
      Multi-StateInsurance Renewal Form - FWSep 14, 2022
      Multi-StateEmergency Apparatus & Equipment Dealers ApplicationAug 26, 2022
      Multi-StateCrime Supplement Form - FWAug 26, 2022

      HOMed

       
      Type/StateForm Name PostedDownload
      FloridaInsurance Application Form - HOMed - FLAug 26, 2022
      GeneralSurety Bond Form
      GeneralSupplement - Special Tornado/Hail ConsiderationsMay 4, 2023
      GeneralSupplement - Special Earthquake ConsiderationsMay 4, 2023
      GeneralSupplement - Builders Risk - RenovationFeb 14, 2023
      GeneralSupplement - Builders Risk - New ConstructionFeb 14, 2023
      GeneralCyber Liability ApplicationAug 26, 2022
      Multi-StateInsurance Renewal Form - O&PMar 30, 2023
      Multi-StateInsurance Renewal Form - HOMedAug 26, 2022
      Multi-StateInsurance Application Form - O&PAug 26, 2022
      Multi-StateInsurance Application Form - HOMedAug 26, 2022
      Multi-StateCrime Supplement Form - HOMedAug 26, 2022
      Multi-StateBusiness Auto Supplement Form - HOMedAug 26, 2022

      O&P Plus

       
      Type/StateForm Name PostedDownload
      GeneralSurety Bond Application
      GeneralSupplement - Special Tornado/Hail ConsiderationsMay 4, 2023
      GeneralSupplement - Special Earthquake ConsiderationsMay 4, 2023
      GeneralSupplement - Builders Risk - RenovationFeb 14, 2023
      GeneralSupplement - Builders Risk - New ConstructionFeb 14, 2023
      Multi-StateInsurance Renewal Form - O&PMar 30, 2023
      Multi-StateInsurance Application Form - O&PAug 26, 2022
      Multi-StateInsurance Application Form - O&PAug 26, 2022

      WildPRO

       
      Type/StateForm Name PostedDownload
      GeneralSupplement - Special Tornado/Hail ConsiderationsMay 4, 2023
      GeneralSupplement - Special Earthquake ConsiderationsMay 4, 2023
      GeneralSupplement - Builders Risk - RenovationFeb 14, 2023
      GeneralSupplement - Builders Risk - New ConstructionFeb 14, 2023
      GeneralCyber Liability ApplicationAug 26, 2022
      Multi-StateWildfire Supplemental - WPAug 26, 2022
      Multi-StateProperty Supplement Form - WPApr 20, 2023
      Multi-StateInsurance Renewal Form - WPApr 20, 2023
      Multi-StateInsurance Application Form - WPApr 20, 2023
      Multi-StateBusiness Auto Supplement Form - WPApr 20, 2023

      Wilson Gregory Agency (WGA)

       
      Type/StateForm Name PostedDownload

      Endorsement Forms

       
      Form NamePostedDownload
      Endorsement Request Form
      advensure animalkeepers asip benefits car-wash esip firewatch homed o&p-plus wildpro
      		Aug 26, 2022

      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
      WGA - Claimant Accident Information (MCN-01-WGA)
      wilson-gregory-agency-(wga)
      		Sep 12, 2022
      Health Care Providers Form (3-75)
      benefits
      		Sep 12, 2022
      Blanket Accidental Dismemberment Claim Form (19-12-AH1)
      benefits
      		Sep 12, 2022
      Blanket Accidental Death Claim Form (19-12-AH2)
      benefits
      		Sep 12, 2022
      Blanket Accident Medical Expense Claim Form (19-12-AH3)
      benefits
      		Sep 12, 2022
      Arch Insurance Accident & Sickness Beneficiary Form
      benefits
      		May 30, 2014
      Accident & Health Claimant Form (3-50)
      benefits
      		Sep 12, 2022
      The Standard Life Insurance Company - Group Life Proof of Loss (New York)
      benefits
      Health Care Providers Form (New York 3-75)
      benefits
      		Sep 12, 2022
      Accident & Health Cancer Claimant Form - NY
      benefits
      		Sep 12, 2022

    • 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.
       Login Demo Register

    • 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