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THREE Convenient ways to submit an application

Agent Portal
MiniCo’s agent portal will allow you to receive a real-time quote.

Print/Fax application
Click on the Print/Fax application link to download and print the MiniCo application. Please fax to 800-637-4981.

ACORD Supplement
Now MiniCo can accept your ACORD application accompanied by this short supplemental form. Click on the link to download and print the ACORD supplemental application.

Once your completed application is delivered to the MiniCo Underwriting Department by e-mail, fax or online, your designated underwriter will contact you. if you have any question about submitting an application, please contact MiniCo's Customer Care Department at 800-447-8383 or e-mail customercare@minico.com.

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 Supplemental Forms/Applications

  Standard   Coastal