Forms & Applications
Below are links to specimen policies, applications and supplements categorized by product.
FORMS & APPLICATIONS
- Multimedia
- American Association of Advertising Agencies (4A's)
- National Association of Broadcasters (NAB)
- Film & Entertainment
New Business Applications
- Multimedia Liability Insurance Application, AXIS 101 0900
- American Association of Advertising Agencies Insurance Application, AXIS 101 0902
- National Association of Broadcasters Insurance Application, AXIS 101 0903
- WriteInsure™ Multimedia Liability Application (Authors Guild), AXIS 101 0953
- Film & Entertainment Liability Application, AXIS 101 0901
- WriteInsure™ Multimedia Liability Application, AXIS 101 0954
Renewal Applications
- Multimedia Liability Insurance Renewal Application, AXIS 101 0949
- National Association of Broadcasters Insurance Renewal Application, AXIS 101 0951
- Film & Entertainment Liability Renewal Application - A&D, Distribution and Library, AXIS 1010 0950
Supplements/Questionnaires
Cyber
- Data Security and Privacy Supplemental Application, AXIS 101 0946
- Business Interruption & Data Restoration Supplemental Application, AXIS 101 0947
- Business Interruption & Data Restoration – System Failure Supplemental Application, AXIS 101 0947A
Technology Services
Others
Product Sheets
Product Applications
AXIS 101 0906 (01-17) AXIS PRO MPL SOLUTIONS PROFESSIONAL SERVICES LIABILITY APPLICATION
AXIS 101 0906A (01-17) AXIS PRO MPL SOLUTIONS PROFESSIONAL SERVICES LIABILITY APPLICATION no sup
AXIS 101 0907 (01-17) AXIS PRO MPL Solutions Renewal Application
AXIS 101 0934 (01-17) AXIS PRO Association Management Company Supplement (ASAE)
AXIS 101 0935 (01-17) AXIS PRO MPL Liability Renewal Application for Standards and Specification (ASAE)
State-Specific
AXIS 101 0907 (01-17) AXIS PRO MPL Solutions Renewal Application- IDAHO
AXIS 101 0933 (01-17) AXIS PRO MPL Liability Application for Standards and Specification (ASAE) IDAHO
AXIS 101 0935 (01-17) AXIS PRO MPL Liability Renewal Application for Standards and Specification (ASAE) IDAHO
Supplements
AXIS 101 0908 (01-17) AXIS PRO MPL Solutions - Association Management Company Supplement
AXIS 101 0909 (01-17) AXIS PRO MPL Solutions - Claims Adjuster Supplement
AXIS 101 0910 (01-17) AXIS PRO MPL Solutions - Computer Technology Supplement
AXIS 101 0911 (01-17) AXIS PRO MPL Solutions - Educational Seminar Instructor Supplement
AXIS 101 0912 (01-17) AXIS PRO MPL Solutions - Employment Agency-Executive Search Supplement
AXIS 101 0913 (01-17) AXIS PRO MPL Solutions - Freight Forwarders-Customs Brokers Supplement
AXIS 101 0914 (01-17) AXIS PRO MPL Solutions - Graphic Designer Supplement
AXIS 101 0915 (01-17) AXIS PRO MPL Solutions - Interior Design-Decoration Supplement
AXIS 101 0916 (01-17) AXIS PRO MPL Solutions - Management Consulting Supplement
AXIS 101 0917 (01-17) AXIS PRO MPL Solutions - Mid-Term Acquisition, Merger or Newly Created Entity Questionnaire
AXIS 101 0918 (01-17) AXIS PRO MPL Solutions - Mid-Term Change of Name Due to Acquisition or Merger Questionnaire
AXIS 101 0919 (01-17) AXIS PRO MPL Solutions - Mortgage Brokers-Mortgage Bankers Supplement
AXIS 101 0920 (01-17) AXIS PRO MPL Solutions - Network Security Supplement
AXIS 101 0921 (01-17) AXIS PRO MPL Solutions - Notary Public Supplement
AXIS 101 0922 (01-17) AXIS PRO MPL Solutions - Online Internet Related Services Supplement
AXIS 101 0923 (01-17) AXIS PRO MPL Solutions - Premium Finance Company Supplement
AXIS 101 0924 (01-17) AXIS PRO MPL Solutions - Printers Supplement
AXIS 101 0925 (01-17) AXIS PRO MPL Solutions - Public Record Search Supplement
AXIS 101 0926 (01-17) AXIS PRO MPL Solutions - Public Relations-Promotion-Marketing Firms Supplement
AXIS 101 0927 (01-17) AXIS PRO MPL Solutions - Real Estate Operations Supplement
AXIS 101 0928 (01-17) AXIS PRO MPL Solutions - RESPA Questionnaire
AXIS 101 0930 (01-17) AXIS PRO MPL Solutions - Third Party Administrators-Review Boards Supplement
AXIS 101 0931 (01-17) AXIS PRO MPL Solutions - Travel Agency-Tour Operator Supplement
AXIS 101 0932 (01-17) AXIS PRO MPL Solutions - User Generated Content Supplement
AXIS 101 0934 (01-17) AXIS PRO Association Management Company Supplement (ASAE)
AXIS 101 0936 (01-17) AXIS PRO Subsidiary Organizations Supplement (ASAE)
AXIS 101 0937 (01-17) AXIS PRO Technology Services Supplement (ASAE)
AXIS 101 0938 (01-17) AXIS PRO Affiliate Organization Supplement (ASAE)
AXIS 101 0939 (01-17) AXIS PRO Consulting Services Supplement (ASAE)
Product Applications
AXIS PRO® PrivaSure Insurance Application AXIS 1010940 0117
AXIS PRO® PrivaSure Insurance Renewal Application AXIS 1010941 0117
AXIS PRO® PrivaSure Insurance Application - Small Business AXIS 1010942 0117
AXIS PRO® PrivaSure Insurance Renewal Application - Small Business AXIS 1010943 0117
AXIS PRO® PrivaSure Data Security and Privacy Information Supplemental Application AXIS 1010946 0117
AXIS Business Interruption & Data Restoration Supplemental Application - System Failure AXIS 1010947A 0117
Specimen Policies
American Association of Advertising Agencies (4A) - Product Applications
Admitted
New York Free Trade Zone
Advertising Agency Liability Application
Non-Admitted (AK, LA, OK and PR - VT and WY for Defense within Limits coverage)
State-Specific
Massachusetts Application Cover Page
4A Application (Florida)
American Association of Advertising Agencies (4A) - Specimen Policies
Admitted
4A Multimedia Liability Policy - Claim Expense Within the Limit
4A Multimedia Liability Policy - Claim Expense Outside the Limit
New York Free Trade Zone
Advertising Agency Liability Policy - Claim Expense Within the Limit
Advertising Agency Liability Policy - Claim Expense Outside the Limit
Non-Admitted (AK, LA, OK and PR - VT and WY for Defense within Limits coverage)
4A Multimedia Liability Policy - Claim Expense Within the Limit
4A Multimedia Liability Policy - Claim Expense Outside the Limit
American Society of Association Executives (ASAE) - Product Applications
Non-Admitted
ASAE Application
ASAE Renewal Application
American Society of Association Executives (ASAE) -Specimen Policies
Non-Admitted
American Society of Association Executives (ASAE) - Supplements
Non-Admitted
Affiliate Organization Supplement
Certification-Accreditation Supplement
Consulting Services Supplement
Subsidiary Organizations Supplement
Technology Services Supplement
National Association of Broadcasters (NAB) - Product Applications
Admitted
NAB Application
NAB Data and Privacy Protection Coverage Application
New York Free Trade Zone
Broadcasters Liability Application
Broadcasters Liability Cyberliability Supplement
Broadcasters Liability Data and Privacy Protection Coverage Application
Non-Admitted (LA, OK and PR - VT and WY for Defense within Limits coverage)
NAB Application
NAB Data and Privacy Protection Coverage Application
State-Specific
Massachusetts Application Cover Page
North Carolina Application Cover Page
NAB Application (Florida)
NAB Application (Montana)
NAB Application (New Hampshire)
NAB Data and Privacy Protection Coverage Application (Florida)
National Association of Broadcasters (NAB) - Specimen Policies
Admitted
NAB Specimen Policy - Claim Expense Outside the Limit
NAB Specimen Policy - Claim Expense Within the Limit
New York Free Trade Zone
NAB Specimen Policy - Claim Expense Outside the Limit
NAB Specimen Policy - Claim Expense Within the Limit
Non-Admitted (LA, OK and PR - VT and WY for Defense within Limits coverage)
NAB Specimen Policy - Claim Expense Outside the Limit
NAB Specimen Policy - Claim Expense Within the Limit
National Association of Broadcasters (NAB) - Supplements
Admitted
New York Free Trade Zone
Non-Admitted (LA, OK and PR - VT and WY for Defense within Limits coverage)
State-Specific
Cyberliability Supplement (Florida)
Cyberliability Supplement (Montana)
Cyberliability Supplement (New Hampshire)
National Association of Television and Program Executives (NATPE) - Product Applications
Admitted
NATPE Acquisition & Development, Distributor, and Film Library Liability Application
NATPE Producer Liability Application
State-Specific
NATPE Acquisition & Development, Distributor, and Film Library Liability Application (New Hampshire)
NATPE Producer Liability Application (New Hampshire)