Submissions

If you are not yet an appointed producer, please visit our new producers page first.

Agribusiness

• Completed ACORD application for each coverage part
• Completed program specific supplemental application
• 5 year currently valued company loss runs
• Drivers list and accompanying Motor Vehicle Records
• Copy of each vehicle registration (VIN reporting requirements)
• Photos and diagrams of each building/structure
• Complete description of activities, ownership and interest of each named insured

Agribusiness Supplemental Application Form

Forest Products

• Completed ACORD application for each coverage part
• Completed program specific supplemental application
• 5 year currently valued company loss runs
• Drivers list and accompanying Motor Vehicle Records
• Copy of each vehicle registration (VIN reporting requirements)

Express Quote - Chip Hauler - Owner Operator - Supplemental Application Form (New Business Only)

Express Quote - Log Trucker - Owner Operator - Supplemental Application Form (New Business Only)

Sawmill General Liability Supplemental Application Form

Logging General Liability Supplemental Application Form

Forest Products Automobile Supplemental Application Form

Logging Equipment Floater Supplemental Application Form

Moving & Storage

• Completed ACORD application for each coverage part including ACORD 132 Truckers section
• Completed program specific supplemental application
• 5 year currently valued company loss runs
• Drivers list and accompanying Motor Vehicle Records
• Copy of each vehicle registration (VIN reporting requirements)
• Financial statement (including current balance sheet and income statement)
• Voided Bill of Lading
• Voided warehouse receipt

Moving & Storage Supplemental Application Form (WORD)
Moving & Storage Supplemental Application Form (PDF)
PUC/ICC Filing Request

Waste Industry

• Completed ACORD application for each coverage part
• Completed program specific supplemental application
• 5 year currently valued company loss runs
• Drivers list and accompanying Motor Vehicle Records
• Copy of each vehicle registration (VIN reporting requirements)
• Property statement of values if values exceed $750,000

Liquid Waste Supplemental Application Form
Waste Systems Supplemental Application Form
Document Shredding Supplemental Application Form
PUC/ICC Filing Request

Wholesale Distributors

• Completed ACORD Application for each coverage
• Completed program specific supplemental application
• 5 year currently valued company loss runs
• Drivers list and accompanying Motor Vehicle Records
• Copy of each vehicle registration (VIN reporting requirements)
• Property statement for values exceeding $1,000,000
• Business income worksheet (if applicable)

Wholesale Distributors Supplemental Application Form

Alaska Commercial Insurance

• Completed ACORD application for each coverage part
• Completed program specific supplemental application
• 5 year currently valued company loss runs
• Drivers list and accompanying Motor Vehicle Records
• Copy of each vehicle registration (VIN reporting requirements)

Alaska Gas Station/LPG Supplemental Application Form

Alaska Habitational Supplemental Application Form

Alaska Lodging/Restaurant/Liquor Supplemental Application Form

Alaska Artisan Contractors Supplemental Application Form