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  • Insurance
    • Self-Insurance
    • Insurance Solutions
    • Brochures
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  • Reinsurance
    • Re Risk Control Services
  • Risk Services
    • Crisis Protection
    • MAP Client Services
    • Risk Control Services
    • Emerging Trends/Insights
    • Risk Resources Network
    • Safety First Grant Program
  • Claims Services
    • Claim Management
    • Medical Management
    • Report a Claim
    • Claims Forms
    • Claims Success Stories
  • COVID-19
    • COVID-19 Resources
    • Safety National Response
    • State Notices
  • ESG
  • Thought Leadership
    • Press Releases
    • In the news
    • Webinar Library
    • Carrier Chronicles
    • Conference Chronicles
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Safety National » Solutions » Applications

Applications

Right click the document name and "save link as" or "save target as" to utilize the interactive forms. Interactive forms will not work within the browser window.

Working with interactive pdfs:

Auto Liability

Auto Liability Application


Claims

Approved Service Organization Application

COVID-19 FIRST REPORT

COVID-19 First Report (Fillable pdf)


Credit Risk

Credit Risk Application

Surety Bond App


Defense Base Act

Defense Base Act Application


General Liability

General Liability Application


Loss Portfolio Transfer

Loss Portfolio Transfer


Public Entity Liability

Public Entity Liability Renewal Application

Public Entity Liability Retention Application


Workers' Compensation

Aircraft Supplemental

Contractors Supplemental Questionnaire

Electrical Utility Supplemental

Employee Concentration Info

Excess Unemployment Compensation

Excess Workers’ Compensation

Hospital/Health Care Supplemental

Large Deductible Workers Comp

Non-owned Vehicles Supplemental

Pilot Supplemental Application

Sovereign Nation Supplemental Application

TEXcess App

Vehicle Supplemental

Voluntary Payroll Declaration

Watercraft Supplemental


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