Forms & Applications
MiniCo’s underwriting team understands
the importance of fast and efficient quoting.
For your convenience, we have provided the forms and applications needed to secure a quote below. Be sure to follow all the “Get a Quote” instructions provided on your program’s page to ensure the fastest turnaround time.
Adult Residential Facility
- Acceptance Criteria (PDF)
- New Business Application – AZ (PDF)
- New Business Application – CA, NV, OR, WA (PDF)
- Renewal Application – AZ (PDF)
- Renewal Application – CA, NV, OR, WA (PDF)
- Developmentally Disabled Resident Supplement (PDF)
- Non-Owned Auto Supplement (PDF)
- Property Supplement (PDF)
Agribusiness
Contact us directly for more information agri@minico.com.
Allied Health Insurance
Submissions
MiniCo accepts submissions from licensed retail insurance agents and brokers without a producer agreement in place. However, a completed and approved producer agreement is required for binding.
To request a producer agreement, email agencyrequests@minico.com.
Submit applications to your assigned MiniCo underwriter or sales@minico.com and include the prospective organization’s name and effective date in the subject line.
Submission Requirements:
- Completed and signed MiniCo application for Allied Health
- Completed ACORD application for lines solicited
- Currently valued company loss runs for this policy period plus two prior years
Additional Submission Information (optional):
- Target premiums
- Brochures, website links, or other information about the prospective organization
- Current audited financials or annual report
- Photographs of property locations
- Schedule of special events
Animal Mortality Insurance
Architects & Engineers Professional Liability
Note: This program is available to wholesale brokers only.
Artisan Contractors
ArtisanPAK Supplemental Applications and References
General Liability Qualifiers
Other carrier contractor qualifiers or supplementals are acceptable for quoting GL business.
- All Classes New Business Qualifier
- (To be used with one or more of the individual class qualifiers.)
Individual Class Qualifiers
- Drywall, Acoustical Tile, and Insulation
- Electrical
- Fencing
- Floor Covering
- Glazier/glass
-
(Includes garage door, door, cabinet, and countertop installation; interior commercial and residential stairway and rail installation; and handymen)
- HVAC
- Landscaping
- Land Improvement and Land Development
- Masonry and Concrete
- Painting, Paperhanging, Drapery, and Window Treatments
- Plumbing
- Solar Energy
- Swimming Pool and Associated Subs
- Tile (including granite and marble)
Renewal Qualifier
A new qualifier is required every three years. Submitting an All Classes New Business Qualifier or the General Information New Business Qualifier with the appropriate class qualifier(s) is also acceptable.
Collectibles
Contractors Liability (NY Only)
Cyber
Equipment Breakdown
Hired & Non-Owned Auto for Food/Cannabis Couriers
Send submissions to john.ware@minico.com.
Note: This program is available to wholesale brokers only.
Landscaping
Supplementals and Submission Requirements
- All Classes New Business Qualifier
-
(To be used with the Landscaping Class Qualifier.)
- Landscaping Class Qualifier
- ZACORD Applications
- ZFour years currently valued loss runs
Renewals
Lawyers Professional Liability
Miscellaneous Professional Liability
Nonprofit & Social Services
Participant Accident Insurance
Contact us directly for more information pai@minico.com.
Property Owners’ Association Liability
Note: This program is available to wholesale brokers only.
Self-Storage Commercial
- Commercial Self-Storage Application
- ACORD Supplemental Application
- Additional Building Information
- Additional Location Information
- Additional Interest Worksheet
- Boat/RV/Vehicle Storage Supplemental Application
- Building & Security Upgrade Application
- Employee Dishonesty Coverage Application
- Employment Practices Liability Supplemental Application
- Limited Pollutants Removal Short Form Application
- Older Building or Converted Building Supplemental Application
- Sale & Disposal Liability Supplemental Application
- Solar Panel Supplemental Application
- Vacant Land Supplemental Questionnaire
- Wine Storage Supplemental Application
Self-Storage Tenant
Self-Storage Workers' Compensation
Wind/Hail Deductible Buyback
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