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Applications & Forms
The forms below are supplied for the sole use of our appointed retail agency force. You may email the completed forms to the appropriate W.E. Love employee.
American Southern1 ASIC Cargo Application2 Sample Cargo PolicyGreat Reasons to Pick ASIC BRITPhysical Damage & MTC Application CanalC H Robinson Letter from CanalCanal Renewal Anniversary 112009 Florida (09_2009)Florida Public Auto (09-2009)Florida Public Auto Renewal FormFlorida Renewal FormIllinois (09-2009)Indiana (09_2009)Iowa (09-2009)Minnesota (09-2009)MTC Coverage From PreferredNews Flash Attention Florida AgentsNews Flash Attention Iowa AgentsNews Flash Attention Minnesota AgentsNorth Carolina (2-2010)Ohio (09_2009)Pennsylvania (09-2009)Texas (09_2009)Virginia (09-2009)West Virginia (09-2009)Wisconsin (09-2009) ChartisChartis Application CNA Intermodal1 CNA Application 1 to 10 units 0710 NEW1 CNA Application 11 Units and moreArizona 137 200604 fillableColorodo 137 200801 fillableColorodo 64 200901 fillableDeleware 137 200607 fillableDeleware 62 200410 fillableFlorida 137 200908 fillableFlorida 61 200806 fillableGeorgia 137 200902 fillableIdaho 137 200901 fillableIdaho 61 200901 fillableIllinois 137 200901 fillableIllinois 61 200301 fillableIndiana 137 200909 fillableIowa 137 200701 fillableIowa 61 200202 fillableIowa 62 199802 fillableKansas 137 200701 fillableKentucky 137 200604 fillableLousiana 137 200901 fillableMaine 137 200009 fillableMaryland 137 200912 fillableNew Jersey 137 200808 fillableNorth Carolina 137 201002 fillableTexas 137 fillableVirginia 137 Great American1 Great American Cargo Application2 Great American Example Cargo Policy Important WorkFlow Email AddressesWorkFlow Email Addresses Star Insurance Company1 Star Application 1 - 10 Units NEW 71020101 Star Application 11 units and more2 AL & PD Sample Policy2 CR & GL Sample Policy2 New PD Additional CoveragesA List of Reasons For StarA Reason or 2 For StarAlabama 137 042004 fillableArkansas 137 200405 fillableArkansas 61 201004 fillableDeleware 137 200607 fillableDeleware 62 200410 fillableFlorida 137 200908 fillableFlorida 61 200806 fillableFlorida 62 200806 fillableFlorida 64 200806Georgia 137 200902 fillableIllinois 137 200901 fillableIllinois 61 200301 fillableIndiana 137 200909 fillableIowa 137 200701 fillableIowa 61 200202 fillableIowa 62 199802 fillableKansas 137 200701 fillableKentucky 137 200604 fillableMaryland 137 200912 fillableMaryland 62MichiganMichigan 62Minnesota 137Mississippi 137Mississippi 61Missouri 137Nebraska 137New Mexico 137New Mexico 61North Carolina 137 201002 fillableNorth Carolina 61Ohio 137Oklahoma 137Oklahoma 60Oklahoma 61Pennsylvania 137Pennsylvania 60Pennsylvania 61Pennsylvania 62South Carolina 137South Carolina 61South Carolina 62South Dakota 137Tennessee 137Virginia 137West Virginia 137West Virginia 60West Virginia 61West Virginia 62Wisconsin 137Wisconsin 61 Stratford1 Stratford Maryland Application1 Stratford North Carolina Application1 Stratford Ohio Application1 Stratford South Carolina Application1 Stratford Texas Application2 Stratford Example AL, PD and Cargo PolicyMaryland Supplement 69North Carolina UM UIM South Carolina UM UIM Stratford General Liability Flyer Submissions To WEL122008 Submission InstructionsA List of Reasons For StarEarly Submission Rejection NoticeMTC Coverage From Standard Workers Comp SolutionsWorkers Comp ApplicationWorkers Comp Application FLWorkers Comp WEL Questionaire