Textbook Insurance Program Applications
Click on the link below to download your selected application (Microsoft Word Required):

School Supplemental Application
Required on any and all public or private school risks located outside New York State in addition to the ACORD applications.

New York School Supplemental Application
Required on any and all public or private school risks located in New York State in addition to the ACORD applications.

The following Questionnaires are applicable to all states and are to be completed in additon to the School Supplemental Application if the exposure exists.

• Camps Questionnaire
• Day Care / Preschool Questionnaire
• Armed Security Guard Questionnaire
• Rifle Range Questionnaire
• Challenge Course Questionnaire
• Vacant Building Questionnaire
• Building Questionnaire (to be completed if requested by underwriter)
  

Educators Legal Liability Applications

    CA, CO, CT, DE, ID, IL, IN, KS, MA, MI, MN, MS, MO, NJ, OK, PA, SD, VT, WY:

• Educators Legal Liability Application
• Renewal Application for Educators Legal Liability

    AL, AZ, AR, DC, FL, GA, IA, KY, MD, ME, MT, NC, ND, NE, NH, NM, NV, OH, OR, RI, SC,
    TN, TX, UT, VA, WA, and WI:

    All states except New York:

• Supplemental Claims Information Form

    New York:

• School Leaders Errors and Omissions Application 

Environmental Impairment Liability Applications - All States:

• Pollution Liability Application
• Mold Application
• Storage Tank Liability Application
  

Student Accident - All States:

• Student Accident Application 
• Student Accident Claim Form

Network Security & Privacy - New York:

• Network Security & Privacy Application

School Violent Acts - New York:

• Educators School Violent Acts Application