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.

Our applications are now grouped into the following 6 categories:



ACORD / Policy SupportCommercial Auto
A Note about Commercial Auto Submissions
Garage, Dealer & Service
Cox Specialty Garage Guide
Multiline, GL / Property, IM
A-C   D-L   M-S   T-Z
Professional / E&OTerrorism Forms


TIP! You can also search by keyword. Press Ctrl + F on your keyboard and search for a phrase.
E.G. Try searcing for "Apartment"

ACORD    
Application Name
Commercial Lines
Commercial Insurance Application - 125  
Commercial General Liability Section - 126  
Property Section - 140  
Crime Section - 141  
Equipment Floater Section - 146  
Glass / Sign Supplement - 144  
Installtion / Builders Risk - 147  
Ohio Fraud Statement - 63OH  
Umbrella / Excess Section - 131  
Commercial Auto
Commercial Insurance Application - 125  
OHIO - Commercial Auto - 137OH  
INDIANA - Commercial Auto - 137IN  
Business Auto Section - 127  
Trucker / Motor Carrier - 132  
Vehicle Schedule - 129  
Filings Request Form - 194  
Medical Statement - 92  
Young Driver Questionnaire - 93  
Ohio Fraud Statement - 63OH  
Policy Service / Support
Cancellation Request / Policy Release - 35  
Agent / Broker of Record Change - 36  
Commercial Policy Change Request - 175  
Statement of No Loss - 37  
Surplus Lines Affidavit - OHIO  
Claims Reporting
Automobile Loss Notice - 2  
General Liability Notice of Occurrence / Claim - 3  
Property Loss Notice - 1  



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Commercial Auto    
Application Name
Colony Group
Cargo  
Contractors  
Driver Training Schools  
Dump / Ready Mix  
Food Delivery  
For-Hire Trucking  
Hired Auto  
Non-Trucking  
Non-Owned  
Passenger Carriers  
Public Auto  
Repossessors  
Specialized Delivery  
Waste and Recyclables  
Wreckers, Repo, Garagekeepers, On-Hook  
North Pointe Applications
Commercial Auto Application
Commercial Auto Renewal Application
Cargo Application
Driver Training School Application
On-Hook Supplement
Repossessors Supplement
OHIO - UM Selection Form
INDIANA - UM Selection Form



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Garage Applications    
Application Name
North Pointe Applications
Garage Quick Quote  
Garage Application  
Garage Renewal Application
Auto Auction Questionnaire  
Heavy Vehicle Service Questionnaire  
Recreational Vehicle Sales or Service Questionnaire  
Salvage Yards  
On-Hook Supplement
INDIANA - UM Form
OHIO - UM Form
WEST VIRGINIA - UM Form



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Multiline Applications & Supplements    
Application Name
Adult Daycare  
Alarm Installers  
Amusement Centers
Apartments  
Bar / Restaurant / Tavern  
Batting Cages
Barber / Beauty Shop
Bed and Breakfast  
Builder's Risk / Building Renovation  
Business Personal Property  
Campgrounds
Caterers
Computer Systems Insurance
Computer Services  
Condo / Homeowner Associations  
Contractors Equipment Rental
Contractors Supplement  
Convenience Stores  
Crane Rental
Daycare Centers
Demolition / Wrecking Contractors  
Detective / Investigation Agency  
Exercise & Health Clubs  
Exterminators
Farm & Ranch
Flea Markets / Swap Meets
General Contractors / Developers
Guides and Outfitters  
Habitational Supplement  
Haunted Houses
Hired / Non-owned Auto  
Homeowner Associations  
Hotels / Motels  
Hunt Clubs  
Janitorial Services  
Jewelers Block
Landscapers / Tree Trimmers  
Liquor Liability  
Logging and Lumbering  
Machinery / Equipment
Mobile Home Parks  
Multiline Renewal Application  
Product Liability  
Recreation Clubs
Renovation Supplement  
Restaurants (Stand-Alone application)  
Restaurants (Use with ACORDs)
Roofers - Comm'l and Residential  
Salvage Yards  
Sawmills
Security Guards
Skating Rinks - GL  
Skating Rinks - Property  
Special Events  
Sports Camps  
Suntanning Beds  
Swimming Pools (non-residential)
Swimming Pool Installation
Technology - Consultants / Designers / Programmers  
Tree Trimmers / Pruners / Landscaping  
Truckers GL  
Vacant Property (Comm'l & Residential)  
Vacant Land  
Welders  



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Professional / E&O    
Application Name
Adoption Agencies
Analytical Testing Labs
Appraisers
Arborists
Archeologists
Auctioneers
Billing Services
Cemetaries / Memorial Parks
Collection Agencies
Computer Services
Consultants
County Clerks and Recorders
Court Reporters
Directors and Officers / Corporate Entities
Directors and Officers / Non-Profit Entities
Electronic Data Processors
Employment Agencies
Employment Practices
Fiduciary Liability
Flood Hazard Searchers  
Funeral Homes
General / Miscellaneous
Graphic Designers
Home Inspectors  
Insurance Inspection Services
Interior Designers
Jewelry Appraisers
Law Enforcement Agencies
Mailing Services
Medical Transcription
Notary Publics
Paralegals / Lawyer Clerical
Phone Answering Services
Photographers
Polygraph Operators
Printers
Programmers
Property Managers
Public Officials / Public Entity
Software Design / Sales
System Analysts
Tax Preparers / Bookeepers
Telemarketing Services
Title Abstractors  
Translators  
Travel Agents



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Terrorism Rejection / Acceptance Forms    
Application Name
Catlin Specialty  
Colony Group
Maxum Indemnity
North Pointe



















2009 MS General Agency Inc. dba Cox Specialty Markets