Agent Resources/Applications & Forms

Our applications are listed below.  Click the application name to download the PDF application(s) you need. If you need assistance please contact us.




Bumbershoot Insurance Application
Charterer's Legal Liability Application
Charter Vessel Application
Commercial Diving Supplemental Application
Commercial Vessel Hull and P&I Application
Hull Builder's Risk Application
Marine Contractor's Liability Application
Maritime Employer's Liability Application
Open Cargo Application
Ship Repairer's Legal Liability Application
Stevedore's Legal Liability Application
Terminal Operator's Liability Application
Vessel Pollution Liability Application
Wharfinger's Legal Liability Application





Hull Builder's Risk Application
Marina Operator's/Boat Dealer's Package Application
Yacht Club/Sailing School Package Application





Defense Base Act (DBA) Insurance Application
International Foreign Casualty Package Application
     Site Specific Environmental Liability Application
     Storage Tank Liability Application
Warehouseman's Legal Liability Application 





Association of Diving Contractors New Business Application
Association of Diving Contractors MEL Application
Maine Lobstermen's Hull and P&I Application
Maine Lobsterman's Hull and P&I Application - Hanover
Maine Lobsterman's Builder's Risk Application
Marine Artisan's Package Application
Small USL&H Program Supplemental Application



Agency Profile Application
Producer Agreement Application
IRS W-9 Form




Property First Notice of Loss
General Liability First Notice of Loss
Workers' Compensation First Notice of Loss
Automobile First Notice of Loss
US DOL Form LS-202
Owners or Masters Statement of Loss
Accident / Illness Report