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
    RV Park & Campground ApplicationAug 25, 2022
    Pool SupplementalAug 25, 2022
    Personal Liability Supplement FormAug 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
    GeneralCyber Liability ApplicationAug 26, 2022

    AnimalKeepers

     
    Type/StateForm Name  PostedDownload
    GeneralCyber Liability ApplicationAug 26, 2022
    Multi-StateVeterinarian and Pet Care BOPAug 26, 2022
    Multi-StateInsurance Renewal Form - AKAug 26, 2022
    Multi-StateInsurance Application Form - AKAug 26, 2022
    Multi-StateCrime Supplement Form - AKAug 26, 2022
    Multi-StateAbuse & Molestation Coverage Supplemental - AKAug 26, 2022

    ASIP

     
    Type/StateForm Name  PostedDownload
    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
    Multi-StateInsurance Renewal Form - BTCAug 26, 2022
    Multi-StateInsurance Application Form - BTCAug 26, 2022
    Multi-StateHookah Supplement FormAug 26, 2022
    Multi-StateBusiness Auto Supplement Form - BTCAug 26, 2022

    Benefits

     
    Type/StateForm Name  PostedDownload
    FloridaAccident & Health Application Form - FLAug 26, 2022
    GeneralGroup Term Life Insurance Request for ProposalAug 26, 2022
    GeneralFor LOSAP please contact Mark Nash (x181)Sep 27, 2019
    IllinoisAccident & Health Application Form - ILAug 26, 2022
    KansasAccident & Health Application Form - KSAug 26, 2022
    MarylandAccident & Health Application Form - MDAug 26, 2022
    MissouriAccident & Health Application Form - MOAug 26, 2022
    MontanaAccident & Health Application Form - MTAug 26, 2022
    Multi-StateAccident & Health Renewal FormAug 26, 2022
    Multi-StateAccident & Health Application FormAug 26, 2022
    Multi-State24 Hour AD&D Application FormAug 26, 2022
    New YorkESIP Cancer CensusMar 29, 2022
    New YorkAccident & Health Application Form - NYAug 26, 2022
    UtahAccident & Health Application Form - UTAug 26, 2022

    Brokers

     
    Type/StateForm Name  PostedDownload

    Car Wash

     
    Type/StateForm Name  PostedDownload

    ESIP

     
    Type/StateForm Name  PostedDownload
    FloridaInsurance Application Form - ESIP - FLAug 26, 2022
    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 - CancerAug 26, 2022
    New YorkESIP Cancer CensusMar 29, 2022
    UtahInsurance Application Form - ESIP - UTAug 26, 2022

    FireWatch

     
    Type/StateForm Name  PostedDownload
    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
    GeneralCyber Liability ApplicationAug 26, 2022
    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
    Multi-StateInsurance Application Form - O&PAug 26, 2022
    Multi-StateInsurance Application Form - O&PAug 26, 2022

    WildPRO

     
    Type/StateForm Name  PostedDownload
    GeneralCyber Liability ApplicationAug 26, 2022
    Multi-StateWildfire Supplemental - WPAug 26, 2022
    Multi-StateProperty Supplement Form - WPAug 26, 2022
    Multi-StateInsurance Renewal Form - WPAug 26, 2022
    Multi-StateInsurance Application Form - WPAug 26, 2022
    Multi-StateBusiness Auto Supplement Form - WPAug 26, 2022

    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