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Submit an application

Agent Portal

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

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 800-528-1056or e-mail

Supplemental Forms/Applications