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Charity First: Expand Your Footprint, Start Writing More Business with Us

Below are our submission requirements, applications and forms for each of the programs and products we write.

In order to obtain adequate information for new submissions, we ask for:

  • ACORD Applications (specialty applications in some instances, click on appropriate link below for additional information)
  • Supplemental Applications – as applicable to each account
  • Questionnaires – to help underwrite applicable exposures to each account
  • Narrative description of operations
  • 4-Year currently valued loss runs
  • If requesting Workers Compensation: Ex-Mod Worksheet if available
  • If available: the website address and/or the organization’s brochures

Program Supplemental Applications / Questionnaires  

Business Owners Policy (BOP) Program

Special Note: Our BOP policy is current available only in the following states: : AZ, AR, CA, CO, DE, DC, GA, ID, IL, IN, IA, KY, MD, MI, MN, MO, MT, NE, NV, NJ, NM, NC, ND, OH, OK, OR, PA, RI, SC, SD, TN, UT, WI, WY