In an effort to provide you with easy access to the resources you need, we’ve made claim, application and other forms available for download. Completed forms can be sent via fax or email below.
Applications
Fax: 607-756-5051
applications@mcneilandcompany.com
Endorsements
Fax: 607-756-5051
endorsement_request@mcneilandcompany.com
Claims
Fax: 607-756-5967
loss_notice@mcneilandcompany.com
* Please note a 10MB attachment size limit when sending emails.
| Cortland, New York Office | |
| Address: | 67 Main St PO Box 5670 Cortland, NY 13045 |
| Phone: | 800.822.3747 |
| Fax: | 607.756.5051 (Underwriting) |
| Fax: | 607.756.5967 (Claims Services) |
| info@mcneilandcompany.com | |
| Denver, Colorado Office | |
| Address: | 1331 17th Street Suite 810 Denver, CO 80202 |
| Phone: | 800.822.3747 |
| Fax: | 607.756.5051 (Underwriting) |
| info@mcneilandcompany.com | |
| Orland Park, Illinois Office | |
| Address: | 13841 Southwest Hwy Orland Park, IL 60462 |
| Phone: | 800.346.1031 |
| Fax: | 708.598.6686 |
| info@mcneilandcompany.com | |
Begin typing in the search field to display relevant forms.
| Type/State | Form Name | Posted | Download |
|---|---|---|---|
| Florida | Insurance Application Form - ESIP - FL esip | Aug 26, 2022 | Download |
| General | Crime Supplement Form - ESIP esip | Aug 26, 2022 | Download |
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| General | Dispatch Supplement Form esip | Aug 26, 2022 | Download |
| General | Liquor Supplement Form - ESIP esip | Aug 26, 2022 | Download |
| General | Supplement - Builders Risk - New Construction advensure animalkeepers asip bar,-tavern,-and-club esip firewatch homed o&p-plus wildpro | Feb 14, 2023 | Download |
| General | Supplement - Builders Risk - Renovation advensure animalkeepers asip bar,-tavern,-and-club esip firewatch homed o&p-plus wildpro | Feb 14, 2023 | Download |
| Illinois | Insurance Application Form - ESIP - IL esip | Aug 26, 2022 | Download |
| Illinois | Insurance Application Form - ESIP - IN esip | Aug 26, 2022 | Download |
| Indiana | Indiana Townships Supplement Form esip | Aug 26, 2022 | Download |
| Indiana | Insurance Renewal Form - ESIP - IN esip | Aug 26, 2022 | Download |
| Kansas | Insurance Application Form - ESIP - KS esip | Aug 26, 2022 | Download |
| Maryland | Insurance Application Form - ESIP - MD esip | Aug 26, 2022 | Download |
| Missouri | Insurance Application Form - ESIP - MO esip | Aug 26, 2022 | Download |
| Montana | Insurance Application Form - ESIP - MT esip | Aug 26, 2022 | Download |
| Multi-State | Association Supplement Form esip | Aug 26, 2022 | Download |
| Multi-State | Career Ambuance Supplement Form - ESIP esip | Aug 26, 2022 | Download |
| Multi-State | Insurance Application Form - ESIP esip | Aug 26, 2022 | Download |
| Multi-State | Insurance Renewal Form - ESIP esip | Aug 26, 2022 | Download |
| Multi-State | Property Supplement Form - ESIP esip | Aug 26, 2022 | Download |
| Multi-State | Vehicle Supplement Form - ESIP esip | Aug 26, 2022 | Download |
| New York | ESIP Cancer Census benefits esip | Dec 1, 2022 | Download |
| New York | Insurance Application Form - Cancer esip | Dec 21, 2022 | Download |
| New York | Insurance Application Form - ESIP - NY esip | Aug 26, 2022 | Download |
| Utah | Insurance Application Form - ESIP - UT esip | Aug 26, 2022 | Download |
| Form Name | Posted | Download |
|---|---|---|
| Endorsement Request Form | Aug 26, 2022 | Download |
| Form Name | Posted | Download |
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