Please be advised that there are many forms that are required to manage your insurance needs and that we have listed only a few that are often requested.

The forms we have included are designed to allow us to service you more efficiently.   However, it is important to note that an A.R.M. Insurance Professional will review these forms, evaluate your needs and respond to you personally.

For assistance completing any of the listed forms, call 888.ARMofNY / 276.6369 and speak with one of A.R.M.'s Insurance Specialists; or email info@armny.com and one of our team members will contact you directly.

NOTE: If you are completing an application for insurance, please complete and submit a LOSS RUN REQUEST FORM for each company you had coverage with during the last 4 years.

Forms & Applications
     | PROPERTY & CASUALTY | EMPLOYEE BENEFITS | MISC. FORMS |

MISCELLANIOUS INSURANCE FORMS
  • Broker of Record Letter
    Letter that assigns ARM-Capacity as broker of record on a policy allowing our insurance Specialists to get information from the insurance company and to provide services to the policy holder. The contents of this letter must be submitted on your company letter head.
  • Certificate of Insurance Request
    Document issued by the insurer as evidence that a policy has been issued with details on coverage. Additionally, this document request allows you to request an additional insured be added to the policy.
  • Loss Run Request
    Letter that is used to request updated loss run reports from your current and past insurance companies. The contents of this letter must be submitted on your company letter head.
  • Business Income Worksheet | PDF Version
    Excel Worksheet used to estimate your business income exposure that is often required by insurance companies to provide agreed value coverage.
  • Statement of Property Values | PDF Version

  • Excel Spreadsheet that can be used to estimate income exposure and is often required by insurance companies to provide agreed value coverage.

  • Statement of Property Values / Apartments

  • Excel Spreadsheet for an apartment building that can be used to estimate income exposure and is often required by insurance companies to provide agreed value coverage.
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