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Glatfelter Public Entities Municipal & School Combination Application

Use in place of the standalone municipal application when a municipality and a school district are written together.

VFIS Property & Casualty New Business Application (with Accident & Sickness)

Primary VFIS application for emergency service organizations; also carries the Accident & Sickness section.

AgriPak Farm Application - Excess

Great American supplemental application — Agribusiness

Glatfelter Healthcare Hospice Organizations Application

GH class application for hospice organizations. One GH class application is mandatory at clearance.

Glatfelter Public Entities Complete Municipal & Miscellaneous Public Entity Application

Primary application for municipalities under 30,000 population and miscellaneous public entities.

Human Services New Business Supplemental - Comprehensive

PHLY supplemental application — non-profit/human services

PHLY - Human Services New Business Supplemental - Comprehensive

PHLY Nonprofit and Human Services underwriting form for commercial package, general liability, property, professional liability, commercial auto; captures the carrier-specific details required by the Human Services New Business Supplemental - Comprehensive.

Real Estate New Business Supplemental Application

PHLY supplemental application — real estate

ARIC Farm & Equine Application - Fillable (legacy edition)

American Reliable Insurance supplemental application — Farm & ranch package

ARIC 01 Farm & Equine Application

American Reliable Insurance supplemental application — Farm & ranch package w/ equine

Jewish Federation Associations Application

PHLY supplemental application — non-profit

Equi-Farm package application

Markel supplemental application — equine / farm package

Glatfelter Healthcare Home Healthcare Agencies - Skilled Application

GH class application for skilled home healthcare agencies. One GH class application is mandatory at clearance.

Nonprofits Select Application (main package application)

NIA supplemental application — Package / all lines

Human Services Professional Liability Application

Hotel/Motel Supplemental Application

CID supplemental application — Commercial P&C

Glatfelter Healthcare Senior Living Application

GH class application for assisted living, skilled care, CCRC, independent living and short-term residential rehab. One GH class application is mandatory at clearance.

ARIC 02 Farm Application - No Equine

American Reliable Insurance supplemental application — Farm & ranch package

NIIC Supplemental - Crane, Rigging and Specialized Carriers

Great American supplemental application — National Interstate (Transportation)

Health & Medical Professional Liability Application

AUI supplemental application — professional-lines

Camp / Conference / Retreat Center Application Package

K&K supplemental application — Camps and campgrounds

Camps Questionnaire

Great American supplemental application — Specialty Human Services

Youth Group Organization Application

PHLY supplemental application — non-profit

Large Sports Events Application Package

K&K supplemental application — Sports

BHSI Human Service Supplemental Questionnaire (new business)

Irwin Siegel Agency supplemental application — Human & Social Services

Cyber Technology & MPL Application

AXIS supplemental application — Cyber / Tech E&O

ISA Human Service Supplemental Questionnaire (New Business App)

Irwin Siegel Agency supplemental application — Human & Social Services

Campground / RV Park Application Package

K&K supplemental application — Camps and campgrounds

NIIC Supplemental - Tow & Recovery Operations (fillable)

Great American supplemental application — National Interstate (Transportation)

Glatfelter Public Entities Complete Water Entity Application (non-California)

Primary water/wastewater application for every state except California. California risks must use the condensed CA form instead.

PHLY - Religious Organization Supplemental

PHLY Religious Organizations underwriting form for commercial package, general liability, property, professional liability, commercial auto; captures the carrier-specific details required by the Religious Organization Supplemental.

Garage Application

Argo supplemental application — Garage (Colony Specialty)

Religious Organization Supplemental Application

PHLY supplemental application — religious

PHLY - Residential Real Estate Application

PHLY Real Estate underwriting form for commercial package, general liability, property; captures the carrier-specific details required by the Residential Real Estate Application.

Resort / Guest Ranch Application Package

K&K supplemental application — Venues and facilities

Commercial Truck Insurance Application A-101

Canal supplemental application — Trucking - primary application

Hospital Liability Insurance Application MP-HPL-00-03 (admitted, 07-22)

MedPro supplemental application — Hospitals

Glatfelter Ministry Care Property & Casualty Application

Mandatory clearance document for every Glatfelter Ministry Care submission. Glatfelter will not reserve the account for the agency without it; ACORDs alone draw an 'NB INFORMATION NEEDED' bounce from the OnBase clearance desk.

Hospital Liability Insurance Application LA NFM-HPL-LA-03

MedPro supplemental application — Hospitals

Hospital Liability Insurance Application CA NFM-HPL-03

MedPro supplemental application — Hospitals

Hospital Liability Insurance Application CW NFM-HPL-03

MedPro supplemental application — Hospitals

Waste Operations - Primary Supporting Applications (fillable)

Great American supplemental application — National Interstate (Transportation)

Glatfelter Healthcare Home Healthcare Agencies - Non-skilled/Aide Application

GH class application for non-skilled/aide home healthcare agencies. One GH class application is mandatory at clearance.

Marine Package Supplemental

Atlantic Casualty supplemental application — ocean marine

Glatfelter Public Entities Educational Institutions Supplement

Required on every GPE education submission - K-12 districts, charter, private/select religious schools and 2-year colleges.

Workers Compensation Supplemental Application

SelectOne+ Credit Unions (Private) New Business PDO-1100S-MAS-CUB

Travelers supplemental application — Financial Institutions D&O

SelectOne+ Community Banks (Private) New Business PDO-1100S-MAS-FIB

Travelers supplemental application — Financial Institutions D&O

Human Services Advantage Supplemental Application

Hanover supplemental application — human services

Package Application V4.7 (Cannabis/CBD/Hemp Program Package)

CannGen supplemental application — Package (GL/Property/Product Liability)

Package Application V4.6 (prior version, still live on canngenins.com)

CannGen supplemental application — Package

SHS Supplementary Questionnaire

Great American supplemental application — Specialty Human Services

Oil and Gas Industry Application

IGP supplemental application — Energy & Environmental

HPA-050001 Physicians Professional Liability New Business Application (E&S)

The Doctors Company supplemental application — E&S Physicians

Blue Reserve Restaurant App

Glatfelter Public Entities California Water Entity Condensed Application

CALIFORNIA ONLY. California water risks must use this condensed form, not the countrywide application - using the wrong one is the most common clearance kickback on this program.

Hotels/Resorts Supplemental Application

American Specialty Insurance & Risk Services supplemental application — Hotels & Resorts

Amateur Sports Association Application Package

K&K supplemental application — Sports

Garage Application

Habitational Application

XS Brokers supplemental application — real-estate/habitational