Jaeger + Haines, Inc. - Applications
       
Jaeger+Haines, Inc.     JAEGER + HAINES, Inc.         SERVICE WITH A "PLUS"         800-632-0342
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Applications

Here is where you will find our most commonly used applications and supplemental forms.

Select your coverage below and click on the application or supplement you need. A PDF version of the form will open, which you can download and/or print. Please note, we can provide a quote using ACORD and most other company applications.

Looking for a quick quote? Try our one-page small account quote sheets for your smaller risks. Return the fully completed form for a fast, competitive quote.

Please note, we accept applications from licensed agents only.

Small Contractors Quote Sheet

Commercial Small Account Quote Sheet

Commercial Auto Quick Quote Sheet

Vacant Property Quote Sheet
 
Applications & other forms are in PDF format and require Adobe Reader which can be downloaded for free below.
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Commercial Property & Casualty    
General Liability
Please note, we can provide you with a quote using ACORD and most other company applications.

Applications
Supplemental Applications (Complete in addition to ACORD application or its equivalent)
Animal Removal Services Supplemental App - S033s (5/13)
Blasting Contractors Supplemental App - A004s (5/13)
Crane Rental Supplemental App - S361s (5/13)
Driver Training Schools Supplemental - M5539 (11/10)
Event Party or Wedding Planner Supplemental App - A041s (5/13)
Event Promoters or Facilitators Supplemental App - S382s (5/13)
Exercise/Health Clubs Supplemental App - A009s (5/13)
Feed Manufacturing Supplemental App - S375s (5/13)
Fertilizer Manufacturing Process or Sales Supplemental App - S376s (5/13)
General Liability - M1025k (11/03)
Go Kart Tracks Supplemental App - S363s (5/13)
Habitational Risks Supplemental App
Hired and Non-Owned Liability Supplemental App - A034s (5/13)
Home Inspection Companies Supplemental App - A036s (5/13)
Landowners/Real Estate Development Supplemental App (12/06)
Liquor Liability Supp App - A080 (5/13)
Livestock Related Exposures Supplemental App - S364s (5/13)
Millwright and Riggers Supplemental App - S378s (5/13)
Paintball Field / Course Supplemental App - S366s (5/13)
Plumbing Supplemental App (07/07)
Property Owners / Homeowners Association Supplemental - M5247 (8/06)
Race Track or Racing Exposure Supplemental App - S367s (5/13)
Restaurant/Bar/Tavern with optional Liquor Liability Supplemental App - A013LQ (5/13)
Rock Climbing Facilities Supplemental App - S358s (5/13)
Roofers Supplemental App (05/13)
Sun Tanning Supplemental App - A008s (5/13)
Swimming Pool Supplemental App (5/13)
Tattoo Parlors Supp App - A082s (5/13)
Terrorism Disclosure - M5122e
Terrorism Disclosure - TRIA 08
Trailer Manufacturer Supplemental App - S374s (5/13)
Vacant Land Supplemental App
Welding Supplemental App - S381s (5/13)
Welding Supply/Gas Distributor Supplemental App - S372s (5/13)

Property
Please note, we can provide you with a quote using ACORD and most other company applications.

Commercial Property App - S330
Habitational Risks Supplemental App
Vacant Building Supplemental App

Inland Marine
Please note, we can provide you with a quote using ACORD and most other company applications.

Contractors Equipment Application

Special Events Liability
Please note, we can provide you with a quote using ACORD and most other company applications.

Haunted Attraction Supplemental App - A026s (5/13)
Hole In One - S342 (5/13)
Parades Supplemental App - A031s (5/13)
Special Event - S305 (5/13)

Umbrella & Excess Liability
Please note, we can provide you with a quote using ACORD and most other company applications.

Apartment
Condominium Association
Contractors
Homeowners Association
Hotel/Motel
Residential Dwelling
Restaurant - Tavern - S316 (5/13)

Professional & Miscellaneous Professional Liability
Directors & Officers (D&O) Liability
Errors & Ommissions (E&O)

Commercial Auto    
National Indemnity Company
Arkansas
Oklahoma
Tennessee
Northland Insurance
Other


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