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Forms for Agents

Click on a section below to download needed forms

For any questions regarding form submissions, please call us at 1-800-965-5580.


The following are needed for a Farm Auto Submission:
Please submit an ACORD 125 Commercial
Please submit an ACORD 127 Business Auto

State Specific ACORD 137 Forms
Alabama: Please submit an ACORD 137
Arkansas: Please submit an ACORD 137
California: Please submit an ACORD 137
Colorado: Please submit an ACORD 137
Georgia: Please submit an ACORD 137
Idaho: Please submit an ACORD 137
Illinois: Please submit an ACORD 137
Indiana: Please submit an ACORD 137
Kentucky: Please submit an ACORD 137
Maryland: Please submit an ACORD 137
Minnesota: Please submit an ACORD 137
Mississippi: Please submit an ACORD 137
Missouri: Please submit an ACORD 137
Montana: Please submit an ACORD 137
North Carolina: Please submit an ACORD 137
Ohio: Please submit an ACORD 137
Oklahoma: Please submit an ACORD 137
Pennsylvania: Please submit an ACORD 137
South Carolina: Please submit an ACORD 137
Tennessee: Please submit an ACORD 137
Texas: Please submit an ACORD 137
Virginia: Please submit an ACORD 137


The following are needed for Hog Submission:

JAI Farm Application
Hog Confinement Questionnaire


The following are needed for Poultry Submission:

JAI Farm Application
Poultry Supplemental Application