Pollution Liability Insurance

Choose an application

Select the application you need to complete. You’ll first tell us whether you’re an insurance agent or the applicant, then complete the form. A clean summary and a formatted PDF are sent to the underwriting desk on submission.

Start hereSearch for your business type or the type of application you need

What’s new

October 2026
  • Profit and Loss Statement for premium audits — totals, gross profit and net profit or loss calculate as you type
  • Summer Camp application — day and overnight camps, with General Liability and Sexual Abuse & Molestation coverage
  • General Liability with Sexual Abuse & Molestation application — for organizations without their own industry application
  • Social Services Professional & General Liability application — counseling, rehab, group homes, adult day care, transitional living and more
  • Storage Tank Pollution application — printed onto the carrier’s own form
  • New policy service request: Add a Driver
  • Searching “customer service” now brings up the policy service request forms

How to use the digital applications

1
Pick an application

Search above or choose a card below. Each one mirrors the carrier’s paper form — no PDFs to print or fax.

2
Complete it or send it

Agents can fill it out themselves or send a secure link for the client to complete — you stay listed as the retail agent.

3
We format & deliver it

On submit, a clean summary and a formatted, sign-ready PDF are emailed to the underwriting desk automatically.

Tip: only questions relevant to the risk appear — checking a box or answering “Yes” reveals the follow-up questions, so you never wade through fields that don’t apply.