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

Following applications are NOT APPLICABLE TO New York State.  Please refer to the Applications for New York State section below.

School & College Supplemental Application
(required on any and all public or private school risks in addition to the accord applications)

Private Schools Supplemental Application
(to be completed in addition to the school supplemental application above if the risk is a private school)

Day Care / Preschool Supplemental Application
(to be completed in addition to the above applications if there is a day care or preschool operation in place)

Camps Supplemental Application
(to be completed in addition to the above application if there is a camp operation in place)

Rifle Range Questioinnaire
(to be completed in addition to the School and College Supplemental Application if exposure exists)

Armed Security Guard Questionnaire
(to be completed in addition to the School and College Supplemental Application if insured utilizes armed security personnel)

Project Adventure Questionnaire
(to be completed in addition to the School and College Supplemental Application if exposure exists)

Building Supplemental Application
( to be completed for any building valued over 1 Million, at underwriter's discretion)

Educators Legal Liability Application

Environmental Impairment Insurance Application

Supplemental Claims Information Form

Supplemental Downsizing / Layoff Information Form

Student Accident Application

Student Accident Claim Form

Applications for New York State

 New York School & College Supplemental Application
(required on any and all public or private school risks in addition to the accord applications.)

New York Rifle Range Supplemental Application
(to be completed in addition to the school supplemental application above if there is a rifle range in place)

New York Project Adventure Supplemental Application
(to be completed in addition to the school supplemental application above if there is a project adventure challenge course in place)

New York Armed Security Guard Supplemental Application
(to be completed in addition to the school supplemental application above if there is an armed security guard in place)

New York Vacant Building Supplemental Application
(to be completed in addition to the school supplemental application above if there is a vacant building)

New York Day Care / Preschool Supplemental Application
( to be completed in addition to the above applications if there is a day care or preschool operation in place)

New York Camps Supplemental Application
( to be completed in addition to the above application if there is a camp operation in place)

New York School Leaders Errors and Omissions Application

New York Network Security Insurance Application

New York Environmental Impairment Insurance Application

New York Student Accident Application

New York Student Accident Claim Form