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) |