Commercial Lines - Supplemental Applications; Statewide Insurance Corp.

(in addition to the Statewide or ACORD Application)

Below you will find a list of just about any Supplemental Application our underwriters may need to Quote or Bind your risk. Click on the appropriate supplement, fill it out, and fax it back to us at 602-494-6999.

NEW - Try out our new Interactive Additional Insured Form

Additional Insured Supplement

Alarm / Fire Extinguisher Supplement

Amusement Device Supplement

Apartment Supplement

Auto Inspection Report

Bar / Restaurant / Tavern Supplement

Barber Shop Supplement

Beauty Salon Supplement

Builder's Risk Supplement

Campground Supplement

Catering Supplement

Computer Tech Supplement

Condo / HOA Supplement

Contractor's Statement

Contractor's Supplement

Contractor's Supplement - Tract or Subdivision

Convenience Store Supplement

Dam Supplement

Day Care Supplement

Driver Exclusion Form

Excavating / Grading of Land Supplement

Exercise & Health Studio Supplement

Exterminator Supplement

Farm & Ranch Owners Supplement

Fire Extinguisher Contractor Supplement

Garage Salvage Supplement

Garage Auction Supplement

Garage Towing Supplement

Guides & Outfitters Supplement

Heavy Truck, Bus & Equipment Supplement

Hotel / Motel Supplement

Hunting Guide Supplement

ICC / State Filing Request Form

Janitorial Supplement

Land Developer Supplement

Landscaper Supplement

Limousine Supplement

Liquor Liability / Special Event Supplement

Liquor Liability Supplement

Medical Statement

Mid-Term Audit Form

Mobile Home Park Supplement

Motel / Hotel Supplement

New Mexico Broker Affidavit

Non-Owned Auto Supplement

Occidental Filing Request Form

OCP & Builder's Risk Supplement

Outfitters & Guides Supplement

Preferred Risk Checklist

Product Liability Supplement

Property Manager's Supplement

Public Auto Supplement

Recycling Supplement

Restaurant / Tavern Supplement

Restaurant Supplement - Occidental

Roofing Supplement

Security Guard / Detective Patrol Supplement

Special Event Supplement

Sports Camps, Clinics & Leagues Supplement

Statewide Survey

Supply Request Form

Swim & Racquet Club Supplement

Swimming Pool Maintenance Supplement

Swimming Pool Supplement

Tanning Salon Supplement

Tavern/Bar/Nightclub Supplement

Temporary Help Supplement

Towing Supplement

Tree Trimmer Supplement

Trucker's Warehouse Supplement

Trucking Supplement

UM / UIM Selection/Rejection Form

Vacant Building Supplement

Valet Parking Supplement

Vehicle Inspection Report

Welding Supplement

Wood Burning Stove Inspection Report

Wrecking of Building Supplement

Rapid-Raters

Applications

Supplemental Applications

Terrorism Forms

Surplus Lines Declination Forms

Claim Forms

Request Loss Runs

Product List

Please remember to include your completed supplemental application with your submission. If you fax everything over, great. But let us know if you are also going to mail it or E-mail it to us, so we don't do "double-duty"!

Fax it all to 602-494-6999.

Statewide forms are available for downloading from this site. The files are in .pdf format, and can be viewed with Adobe Acrobat Reader.If you do not currently have Reader installed on your computer, click the logo below for a free download.