Applications

The following links provide access to nearly all of the applications Cox Specialty Markets uses. All files are in Portable Document Format (.pdf), and when available, Microsoft Word (.doc) format. You need to have a .pdf viewer on your computer to view forms in .pdf format. Adobe Reader is the most common. If you do not have this software, it is available for you to download for free (see below). To view the "word" format, you need the Office 97 version of Word (or later) or a word processing program that is capable of viewing Word documents.

Can't find the application you are looking for? Call (800) 648-0357 and we will be glad to help.

Categories:

Most Popular
ACORDs
Policy Support
Claims Reporting
Commercial Auto
Contractors
Used Car Dealers / Service Garage
Multiline (GL, Property, IM)
Professional / E&O / D&O
Terrorism Forms

Commercial Insurance Application - 125
PDF
 
Commercial General Liability Section - 126
PDF
 
Property Section - 140
PDF
 
Crime Section - 141
PDF
 
Equipment Floater Section - 146
PDF
 
Glass / Sign Supplement - 144
PDF
 
Installation / Builders Risk
PDF
 
Fraud Statements - 63
PDF
 
Umbrella / Exces Section - 131
PDF
 
OHIO - Commercial Auto - 137OH
PDF
 
INDIANA - Commerical Auto - 137IN
PDF
 
Business Auto Section - 127
PDF
 
Trucker / Motor Carrier - 132
PDF
 
Vehicle Schedule - 129
PDF
 
Filings Request Form - 194
PDF
 
Medical Statement - 92
PDF
 
Young Driver Questionnaire - 93
PDF
 

Cancellation Request / Policy Release - 35
PDF
 
Agent / Broker of Record Change
PDF
 
Commercial Policy Change Request - 175
PDF
 
Statement of No Loss - 37
PDF
 
Ohio Surplus Lines Affidavit - INS4024
PDF
West Virginia Surplus Lines Affidavit - Form DDF
PDF
 

Automobile Loss Notice - 2
PDF
 
General Liability Notice of Occurrence / Claim - 3
PDF
 
Property Loss Notice - 1
PDF
 

NPIC - Commercial Auto Application
PDF
NPIC - Commercial Auto Renewal Application
PDF
NPIC - Cargo Application
PDF
NPIC - Driver Training School
PDF
NPIC - On-Hook Supplement
PDF
NPIC - Repossessors Supplement
PDF
NPIC - OHIO UM Selection Form
PDF
NPIC - INDIANA UM Selection Form
PDF
Colony - Transportation Application
PDF
 
Colony - Auto Leasing Application
PDF
 
Colony - Cargo Application
PDF
 
Colony - Driver Training Schools Application
PDF
 
Colony - Non-Trucking Application
PDF
 
Colony - Passenger Carriers Application
PDF
 
Colony - Contractors Supplement
PDF
 
Colony - Dump / Ready-mix Supplement
PDF
 
Colony - Food Delivery / Spcl Dlvry Supplement
PDF
 
Colony - Hired Auto Supplement
PDF
 
Colony - Non-Owned Supplement
PDF
 
Colony - Passenger Carrier Supplement
PDF
 
Colony - Public Auto Supplement
PDF
 
Colony - Repossessors Supplement
PDF
 
Colony - Wreckers / Repo / Garagekeepers / On-Hook
PDF
 

Garage Application
PDF
 
Garage Renewal Application
PDF
Auto Auction Questionnaire
PDF
 
Heavy Vehicle Service Questionnaire
PDF
 
RV Sales or Service Quesionnaire
PDF
 
Salvage Yards Supplement
PDF
 
On-Hook Supplement
PDF
 
INDIANA - UM Form
PDF
 
MICHIGAN - PIP Coord.; No-Fault PD; Covg. Coll. Opt.
PDF
 
OHIO - UM Form
PDF
 
WEST VIRGINIA - UM Form
PDF
 

Alarm Installers
PDF
 
Contractors Equipment Rental
PDF
Contractors Application (FULL)
PDF
 
Contractors Supplement
PDF
 
Demolition / Wrecking Contractors
PDF
 
Exterminators
PDF
Janitorial
PDF
 
Landscapers / Tree Trimmers
PDF
 
Logging and Lumbering
PDF
 
Owners and Contractors Protective
PDF
 
Roofers
PDF
 
Security / Patrol Agencies
PDF
 
Tree Trimmers / Pruners / Landscapers
PDF
 
Welders
PDF
 

Amusement Center / Device
PDF
 
Apartments
PDF
 
Bar / Restaurant / Tavern Application
PDF
 
Batting Cages
PDF
 
Barber / Beauty Shop
PDF
 
Bed and Breakfast
PDF
 
Builders Risk
PDF
 
Campgrounds
PDF
Caterers
PDF
Computer Systems Insurance
PDF
 
Computer Services
PDF
 
Condo / Homeowner Associations
PDF
 
Convenience Stores
PDF
 
Daycare Centers
PDF
 
Detective / Investigative Agy (Private)
PDF
 
Exercise / Health Clubs
PDF
 
Flea Markets / Swap Meets
PDF
 
Guides and Outfitters
PDF
 
Habitational Supplement
PDF
 
Haunted Houses
PDF
Hired and Non-Owned
PDF
 
Hotels / Motels
PDF
 
Hunt Clubs
PDF
Liquor Liability
PDF
 
Land Owners
PDF
 
Mobile Home Parks
PDF
 
Multiline Renewal Application
PDF
 
Non-Profit Organizations
PDF
 
Product Liability
PDF
 
Recreation Clubs
PDF
 
Restaurants (Full Application)
PDF
 
Restaurants (Use with ACORDs)
PDF
 
Salvage Yards
PDF
 
Sawmills
PDF
 
Skating Centers
PDF
 
Special Events
PDF
 
Sports Camps
PDF
 
Suntanning Beds
PDF
 
Truckers GL
PDF
Vacant Property (Commercial & Residential)
PDF
 
Vacant Land
PDF
 

Architects and Engineers
PDF
 
D&O
PDF
 
D&O (OHIO)
PDF
 
Employment Practices Liability
PDF
 
Fiduciary Liability
PDF
 
Technology / Computer Services
PDF
 
Miscellaneous Professional Liability
PDF
 

North Pointe TRIA Form
PDF
 
Montpelier US TRIA Form
PDF
 

Garage Application
PDF
 
Bar / Restaurant / Tavern
PDF
 
Vacant Property
PDF
 
Liquor Liability
PDF
 
Tree Trimmers / Landscapers
PDF
 
Convenience Stores
PDF
 
Contractors Application (FULL)
PDF