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Applications for Water, Sewer and Irrigation Entities or Municipalities up to 75,000 in population |
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Countrywide except: AL, LA, MS and WV, please complete the Glatfelter Public Practice Supplemental Application below and submit with your completed Acord application. Our municipal program is not available in AL, LA, MS or WV. Call for pending regulatory state approvals. Please Note: Coverages and limits vary between programs. Refer to your proposal for actual coverage and limit details.
Glatfelter Public Practice Supplemental Application - Print
Glatfelter Public Practice Supplemental Application - Form Fill
Workers' Compensation in DE, GA, NC, NJ, & PA, please use the link below:
NSM Application
Educational Institutions Program Applications:
The following Questionnaires are applicable to all states and are to be completed in addition to the Educational Institutions Supplemental Application if the exposure exists.
Educators Legal Liability Applications:
New York:
Public Officials Applications (where municipality and school are combined for insurance purposes):
Environmental Impairment Liability Applications - All States:
Student Accident - All States:
Network Security & Privacy - New York:
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Independent School Bus Contractors
(
CT, DE, MA, MD, ME, MI, NH, NJ, NY, OH, PA, VA, VT & WV
only):
New York Public Entity Safety Group 497:
New York Schools Safety Group 491:
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