Underwriting Forms

Certificate of Insurance Issuing Instructions

Additional information is provided related to the most common situations regarding the issuing of Certificates of Insurance for your Movers' Choice Program insured's.

Applications

Moving & Storage Supplemental Application

This application must be included on all new business submission to the Mover’s Choice Moving & Storage Program.

Moving & Storage Renewal Supplemental Application

In preparation for your upcoming insurance renewal, we have created an interactive worksheet that accounts for military shipments at the old and new valuation levels as well as non-military storage. When used in its Excel format, the form will automatically calculate total valuation based on tonnage and the number of containers.

Moving & Storage Long Haul Application

This application needs to be included when the moving operation does moves over 250 miles under their own authority or if the mover is affiliated with Mayflower, United, or Atlas Van Lines.

The Mover’s Choice Program has developed a program to provide international or domestic cargo coverage to the freight forwarding industry. This coverage is underwritten by A.M. Best “A XV.”

Moving & Storage Workers’ Comp Supplemental Application

This application must be included on all new business submissions to the Moving & Storage Workers’ Compensation Program.

IC Work Injury Program Sponsoring Motor Carrier Application

This Independent Contractor Work Injury Program Sponsoring Motor Carrier Application must be included on all new business submissions for this program.

Moving & Storage Bond Program

This application is needed on all new business submission to provide a surety bond quotation.

Movers Choice Program - High Limits Crime Coverage

This application is needed on all insureds who request a Crime Limit at or over $150,000.

Forms

High Value Shipment Request Form

This form is used to request our underwriters to provide a quotation on a one time move which limit is higher than the mover's current cargo limit.

High Value Shipment Request Form

High Value Inventory Form

This form is for all items considered to be “high risk” or “high value” by either the shipper or the carrier. The purpose of this inventory is to assist you in identifying articles of extraordinary or unusual value in order that the carrier will be aware of those items which require special handling and protection. Failure to identify such articles will result in limited carrier liability and may result in denial of any claim.

High Value Inventory Form

Location Addition Request Form

This form is used to request the addition of a new location to your current insurance policy.

Location Addition Request Form

Advice of Coverage Form

This form is used in conjunction with the mover’s bill of lading or warehouse receipt to provide their customer a clearer written description of the additional valuation coverage being provided for their shipment.

Advice of Coverage Form

Private Passenger Type Vehicle Additional Information

This form is used in conjunction with an Acord vehicle request to add a PPT to a corporate movers auto insurance policy.

Private Passenger Type Vehicle Additional Information

Acord Crime Application 2000

This specific form is required to underwriter crime coverage limits equal or that exceed $250,000.

Acord Crime Application 2000

Driver Eligibility Requirements

Information is provided on the minimum driver requirement for this program.

Debit Authorization Form

This form is used to request to have funds accessed electronically to pay for premium due.

This form is used for request to have funds directly deposited to pay broker’s commission.

Agreement to add sub-hauler form

This form is used to request the addition of a new sub-hauler to your current insurance policy

All Risk Cargo/Warehouse Certificate Coverage Program

All Risk Coverage Definition

Explains the difference between valuation coverage and “all risk” certificate coverage.

All Risk Certificate Program Process

Current Customers use this link to have potential “all risk” certificates processed and approved.

All Risk Cargo & Storage Certificate Supplemental Application

This application is required on moving and storage operations who individual issue “all risk” certificates to customers to increase coverage for their move.

Mover's Choice DAY Movers Program

Day Movers Underwriting Guidelines

Information is provided Information is provided on the guidelines and underwriting information needed to qualify for the Mover’s Choice Day Movers Program. •

Day Movers Supplemental Application

This application must be included on all new business submission for Mover’s Choice Day Movers Program.

Day Movers Driver's Criteria

Information is provided on the minimum driver requirements for the Mover’s Choice Day Movers Program.


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