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Applications / Forms

To make it as easy as possible for you to do business with Distinguished, you can access and print many of our applications and forms right from our website. Simply click on the link here to get started.

You'll need Adobe Reader to view and print the forms (you can download the reader by clicking here).

COMMUNITY ASSOCIATION PROGRAMS

Directors and Officers Liability for Community Associations Short Form (online) or (PDF)
Directors and Officers Liability for Community Associations Long Form (PDF)
Low Limits Umbrella for Community Associations (online) or (PDF)
Supplemental Automobile Application - use if association has vehicles (PDF)
Crime for Community Associations (online) or (PDF)

REAL ESTATE INDUSTRY PROGRAMS

Primary Property and Commercial General Liability
Building Questionnaire (Excel) or (PDF)
Commercial Building / Restaurant Exposure Application (PDF)
Vacant Land Application (PDF)
Day Care Application (PDF)
Student Housing Application (PDF)

Umbrella Liability
Building Questionnaire (Excel) or (PDF)
Underlying Carrier Information Application (PDF)
Commercial Building / Restaurant Exposure Application (PDF)
Vacant Land Application (PDF)
Day Care Application (PDF)
Automobile Application – owned / leased autos only (PDF)
Student Housing Application (PDF)

New York Workers Compensation Safety Group
State Insurance Fund Application (PDF)

AGENCY/BROKERAGE APPOINTMENT FORMS

Producer Profile (PDF)
Brokerage Agreement (PDF)