Underwriting Forms


Motor Carrier Supplemental Application

This supplemental application is to be used when providing a submission for a group of Independent Contractors working for one Motor Carrier. The intention is to create one motor carrier endorsed independent contractor insurance program

Independent Contractor Supplemental Application

This supplemental application is to be used when providing a submission for a single independent contractor operation. Please also provide a cover letter with a list of coverage types, limits and deductibles you would like quoted for auto liability, general liability, cargo, and umbrella.

Small Truck Operation Supplemental Application

This supplemental application is to be used when providing a submission for a small fleet size trucking operation. Please also provide a cover letter with a list of coverage types, limits and deductibles you would like quoted for auto liability, general liability, cargo, and umbrella.

Additional Driver/ Vehicle Information Supplemental Application Attachment

If the initial supplemental application does not provide enough space to list all the drivers and vehicle information please complete this form and attach it with supplemental application.

Last Mile Long Haul Radius Questionnaire

Only needed if account's radius exceeds 300 miles

Other Than Trucking/Last Mile Delivery Operation Supplemental Questionnaire

This supplemental submission questionnaire only needs to be completed if the operation is providing services outside the trucking or last mile delivery exposure.

Driver Eligibility Requirement

The attached form provides clarification of what is an acceptable motor vehicle record under this program and an owner’s signature will be required at binding.

Insurance Filing Request Form

Complete this form and provide to underwriting when an operation needs a specific insurance filing made on their behalf.

Change Request

Change Request Form - Existing Contract Carrier

Cancellation Form

It is your responsibility to notify BizChoice directly to cancel any insurance coverage.