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Welcome to our Online Forms Library

Here you can find the majority of the forms we use in our office to quote new business, initiate policy changes, and request certain pieces of information.


If you have any questions about insurance or can't find what your looking for, contact us now.

Applications for Insurance

Cyber and Data Breach Insurance for Educational Institutions Download

Cyber and Data Breach Insurance for Educational Institutions

CHUBB Insurance Cyber and Date Breach Response Coverage Insurance Application. Used for Educational Programs and Educational Instututions. Not for general business use.

Directors and Officers Insurance Application Form Download

Directors and Officers Insurance Application Form

Long Form including D & O, Employment Practices, Cyber, and many more selections of coverage.

Business Classification References

PA SWIF Codes and Rates Download

PA SWIF Codes and Rates

SWIF Publishes rates and releases them to the public_You can find a general classification guide here.

PA SWIF Codes and Rates By Classification Download

PA SWIF Codes and Rates By Classification

Reference Guide by General Classification

PA Work Comp Class Reference by Classification Download

PA Work Comp Class Reference by Classification

PCRB PA Class Search by Classfication

PA Workers Compensation Reference Manual Download

PA Workers Compensation Reference Manual

General Liability Applications

Cannabis and Marijuana Insurance_Liability Insurance Coverage Supplement Download

Cannabis and Marijuana Insurance_Liability Insurance Coverage Supplement

Workers Compensation Applications

Officer Declaration and Exclusion Form for Pennslyvania Workers Compensation Insurance Download

Officer Declaration and Exclusion Form for Pennslyvania Workers Compensation Insurance

If you own a S Corp C Corp or are the executive director of a non profit you must decide whether or not you would like to be covered under your company workers compensation coverage. If you have workers compensation for your business you are automaticall

PA Work Comp Coverage Election Form for LLCs Sole Proprietors Partnerships and Joint Ventures Download

PA Work Comp Coverage Election Form for LLCs Sole Proprietors Partnerships and Joint Ventures

Need to get covered under workers compensation? And you are an LLC, Sole Proprietor, or Partership? Use this form here.

Workers Compensation Insurance Application KELLY INSURANCE GROUP Download

Workers Compensation Insurance Application KELLY INSURANCE GROUP

If you would like to receive a workers compensation quote, it could help to get the Workers Compensation Insurance Application completed. You don't need to fill in every minute detail, but the more information you input, the quicker the process will be.