Below are sample forms you will need to complete. Please select the correct region for the correct forms.

New York/New Jersey

• Certificate of Insurance (COI) – Download this sample form. We suggest you send this to your insurance broker, so they can copy the language exactly. This should save time as our approval process won’t be delayed.
• Indemnity Agreement - Download this form, fill in your company information and sign.

Virginia

• Certificate of Insurance (COI) – Download this sample form. We suggest you send this to your insurance broker, so they can copy the language exactly. This should save time as our approval process won’t be delayed.
• Indemnity Agreement - Download this form, fill in your company information and sign.