Leeds Branch Downloads
Applications and Questionnaires
| Insurance Program | Form Download | Contact |
| Business Insurance | Business Quote | Andrea Gertz, ext. 24 This e-mail address is being protected from spambots. You need JavaScript enabled to view it Tel: 800-724-0695 / 518-943-3900 Fax 518-943-7440 |
| Personal Insurance | Auto Quote Homeowners Quote |
Vicky Saccoccie, ext. 45 This e-mail address is being protected from spambots. You need JavaScript enabled to view it Tel: 800-724-0695 / 518-943-3900 Fax 518-943-7440 |
| Disability & Life | Disability Quote Group Disability Quote Life Insurance Quote |
Andrea Gertz, ext. 24 This e-mail address is being protected from spambots. You need JavaScript enabled to view it Tel: 800-724-0695 / 518-943-3900 Fax 518-943-7440 |
| In-Home Day Care | In-Home Day Care Application Family Child Care Assoc. of NYS Application |
Vicky Saccoccie, ext. 45 This e-mail address is being protected from spambots. You need JavaScript enabled to view it Tel: 800-724-0695 / 518-943-3900 Fax 518-943-7440 |
| Nonprofits - Insurance & Risk Management Home Page | Nonprofit Insurance Overview GET A QUOTE - D&O coverage GET A QUOTE - Workers' Comp., Property or Liability GET A QUOTE - Group Benefits Chubb Works Loss Prevention Program Chubb Risk Analyzer Workers' Compensation Application NYS Workers Compensation Handbook Disability Application Property & Casualty Application Great American Policy Highlights Great American Program Overview Risk Facts Basic for Nonprofits |
Lorraine Emerick, ext. 22 |
| National Association for Community Mediation (NAFCM) | NAFCM Directors' & Officers' Application NAFCM Professional Liability Application NAFCM Property & Casualty Application |
Lorraine Emerick, ext. 22 |
| North East Fabricare Association (NEFA) | Dry Cleaner Application |
Lorraine Emerick, ext. 22 |
This e-mail address is being protected from spambots. You need JavaScript enabled to view it
