Please Note: Coverages and limits vary between programs. Refer to your proposal for actual coverage and limit details. For Water, Sewer, and Irrigation Entities or Municipalities up to 75,000 in population in the following states: AL, AZ, AR, CO, CT, GA, IA, ID, IL, KS, KY, LA, ME, MS, MT, NM, NC, OH, PA, SD, TN, TX, UT, VA, WA, WI, WV, and WY, please complete the Glatfelter Public Practice Supplemental Application below and submit with your completed Acord application.
Glatfelter Public Practice Supplemental Application - Print
Glatfelter Public Practice Supplemental Application - Form Fill
For municipalities in NY only, please use links below application:
Water, Sewer, Irrigation, and Conservation Entities:
If you are in any of the following states, please complete the below application: CA, DE, FL, IN, MA, MD, MI, MN, MO, ND, NE, NH, NJ, NV, NY, OR, OK, RI, SC, VT, WI.
Textbook Insurance Program Applications:
The following Questionnaires are applicable to all states and are to be completed in addition to the School Supplemental Application if the exposure exists.
Educators Legal Liability Applications: CA, CO, CT, DE, ID, IL, IN, KS, MA, MI, MN, MS, MO, NJ, OK, PA, SD, VT, and WY:
AL, AZ, AR, DC, FL, GA, IA, KY, MD, ME, MT, NC, ND, NE, NH, NM, NV, OH, OR, RI, SC, TN, TX, UT, VA, WA, and WI:
NY:
Enviromental Impairment Liability Applications - All States:
Student Accident - All States:
Network Security & Privacy - New York:
Independent School Bus Contractors (PA, NJ, and NY only):
New York Public Entity Safety Group 497:
New York Schools Safety Group 491:
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