Forms Library
Applications for Insurance

Cyber & Data Breach Insurance for Educational Institutions
CHUBB Insurance Cyber and Date Breach Response Coverage Insurance Application. Used for Educational Programs and Educational Institutions. Not for general business use.
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Directors and Officers Insurance Application Form
Long Form including D & O, Employment Practices, Cyber, and many more selections of coverage.
DownloadBusiness Classification References

PA SWIF Codes and Rates
SWIF Publishes rates and releases them to the public. You can find a general classification guide here.
DownloadGeneral Liability Applications
Workers Compensation Applications

Officer Declaration and Exclusion Form for Pennslyvania Workers Compensation Insurance
If you own a S Corp C Corp or are the executive director of a non profit you must decide whether or not you would like to be covered under your company workers compensation coverage.
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PA Work Comp Coverage Election Form for LLCs Sole Proprietors Partnerships and Joint Ventures
Need to get covered under workers compensation? And you are an LLC, Sole Proprietor, or Partnership? Use this form here.
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Workers Compensation Insurance Application KELLY INSURANCE GROUP
If you would like to receive a workers compensation quote, it could help to get the Workers Compensation Insurance Application completed. You don’t need to fill in every minute detail, but the more information you input, the quicker the process will be.
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