THREE Convenient ways to submit an application

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

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

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.

Supplemental Forms/Applications
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Coastal |
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