Loveland & Smart
Insurance Services, Inc.
Please choose the correct form from the list below.
Excess Workers' Compensation
Needed to assess workers comp exposure.
Public Entity Excess Liability
includes General Liability, Public Officials Errors and Omission; Wrongful Acts, Personal InjuryEmployee Benefit Liability.
Loss Portfolio Transfer
To transfer outstanding liabilities to someone else.
If applicable, identifies special exposure unique to hospitals.
PUBLIC ENTITY SUPPLEMENT
If applicable, to identify special exposures
If applicable, to assess auto exposure
WATERCRAFT SUPPLEMENTAL APPLICATION
If applicable, to assess watercraft exposure
Concentration of Risk
Attempts to identify maximum potential workers comp loss
Employer Profile Questionnaire
If applicable, identifies loss prevention measures and claims handling procedures.
Self Administration Questionnaire
If applicable, if employer handles in-house claims or if the TPA has not been approved by a particular reinsure.
Initial Claims Report
Sample form to report a claim.