Insurance Applications

Insurance applications are only accepted from licensed agents and brokers who have been appointed by Berkley FinSecure. Please contact your agent or broker for more information.

Property and Casualty Applications

For property and casualty coverages, we accept ACORD applications or applications providing similar information. Please note the following:

  • Property: Please be sure to include construction, occupancy, number of stories and building age, as well as a signed statement of values if blanket coverage is requested.
  • Workers Compensation: Please provide a breakdown of the number of employees per location for catastrophe tracking. It is not necessary to breakdown payroll by location, only by state.

Other Applications and Questionnaires

Please select from the applications below:

Supplemental Questionnaires

Please select from the questionnaires below:

For Credit Unions:

The files above are in PDF format. You may need to download the latest free version of the Adobe Acrobat Reader application to view these files and complete those documents with editable fields.