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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