The forms below are available for download. 

If you  have questions about a form, or if you need a form not available here, please call us at 877-219-7195.

Request Forms

• Coverage Request Form – Use this form to request coverage.
• Quote Request Form – Use this form to request a QUOTE ONLY for coverage.

Claim Forms

• Mortgage Claim Form – Use this form for Hazard, Wind and Flood Claims.
• CPI Claim Form – Use this form for Automobile/Boat Claims.
• GAP Claim Form – Use this form for GAP Claims.
• Credit Life Claim Form – Use this form for Credit Life Claims.
• Credit Disability Form – Use this form for Credit Disability Claims.
• Unemployment Claim Form – Use this form for Unemployment Claims.

Waive Forms

• Mortgage Waive Form – Use to waive insurance requirements for real estate and equipment.
• CPI Waive Form – Use to waive insurance requirements for automobiles/rolling stock.
• Temp Construction Waive Form – Use to temporarily waive builders risk requirements when construction has not yet started.
• Release of Waive Form – Use to “un-waive” insurance requirements and put a loan back into tracking.

Applications

• Mortgage Protection Application – Use this application to apply for a Mortgage Protection Program.  Complete in as much detail as possible and include loan portfolio data.
• Collateral Protection Application – Use this application to apply for a Collateral Protection Program.  Complete in as much detail as possible.  Additional portfolio analysis may be required.
• Kwik Risk Property Application – Use this form if you do not have a Mortgage Protection Program but have a property you need to place coverage on.  Or if you do have a program, but have a property to cover that does not qualify under the Mortgage Protection Program.