Applications & Questionnaires
Moving & Storage Supplemental Application
Include this application on all new business submissions to the MOVER’S CHOICE Moving & Storage Insurance Program.
Long Haul Supplemental Questionnaire
Include this questionnaire when the moving operation conducts moves longer than 250 miles, under their own authority or if the mover is affiliated with Mayflower, United, or Atlas Van Lines.
Portable Storage Supplemental Questionnaire
Include this questionnaire on all new business submissions to the MOVER’S CHOICE Portable Storage Insurance Program.
Cargo/Warehouse Renewal Supplemental Questionnaire
In preparation for an upcoming insurance renewal, this interactive worksheet accounts for military shipments at the old and new valuation levels as well as non-military storage. When used in its Excel format, the form will automatically calculate total valuation based on tonnage and the number of containers.
Workers’ Compensation Questionnaire
Include this questionnaire on all new business submissions to the MOVER’S CHOICE Moving & Storage Workers’ Compensation Program.
Moving & Storage Surety Bond Program Application
Include this application on all new business submissions for surety bonds.
Cyber Supplemental Questionnaire
Include this application if total revenue is less than $5M or if the cyber limit requested is less than $500K.
High Limit Cyber Supplemental Application
Include this application if total revenue is equal to or greater than $5M or if the cyber limit requested is equal to or greater than $500K.
Crime Supplemental Questionnaire
This questionnaire is needed on all insureds who request a Crime Limit at or over $150,000.
ACORD Crime Application 2000
This specific form is required to underwrite crime coverage limits equal or that exceed $250,000.
Miscellaneous Forms
High Value Shipment Request Form
Use this form to request a quotation for a one-time move whose limit is higher than the mover’s current cargo limit.
Private Passenger Vehicles Supplemental Questionnaire
Use this questionnaire in conjunction with an ACORD vehicle request to add a PPT to a corporate mover’s auto insurance policy.
Advice of Coverage Form
Use this form in conjunction with the mover’s bill of lading or warehouse receipt to provide their customer a clearer written description of the additional valuation coverage being provided for their shipment.
All Risk Cargo/Warehouse Certificate Supplemental Applications
Learn more about the coverage and process.
All States (Except KS, OK, WA)
This application is required on all states (except KS, OK, WA) moving and storage operations that individually issue All Risk Certificates to customers for increased coverage for a move.
Kansas
This application is required on Kansas moving and storage operations that individually issue All Risk Certificates to customers for increased coverage for a move.
Oklahoma
This application is required on Oklahoma moving and storage operations that individually issue All Risk Certificates to customers for increased coverage for a move.
Washington
This application is required on Washington moving and storage operations that individually issue All Risk Certificates to customers for increased coverage for a move.
All Risk Cargo/Warehouse Insurance Coverage is not the same as Valuation Coverage
- Valuation Coverage is a contract between the customer and the moving company. It provides that, in the event of direct damage to goods, the moving company will pay the customer for damage or repairs to the property up to the limit of coverage. There is no coverage for damage from a third party where the mover is deemed not to be negligent.
- All Risk Cargo/Warehouse Insurance is a contract between the customer and the insurance company. The coverage provided is for direct damage or damage by a third party, or damage due to an unforeseeable act (such as windstorm, flood, lightning, etc.). All risk coverage is paid directly by the insurance company and is regulated by the Department of Insurance. Like most insurance contracts it has a clause for co-insurance or insuring to value that valuation does not.
All Risk Certificate Program Process
How? There are two ways you can process your request to provide an All Risk Certificate for one of your customers:
Online
Your office can complete and submit the request form online (this is the preferred method) . Our office will take the data provided, input the information on a certificate, and approve the coverage. The approved certificate will be faxed or emailed to you within one business day.
All Risk Form
FAX
Please download, print and complete the fax request form. Fax the completed form to our office at (707) 252-5905. Our office will take the data provided, input the information on a certificate, and approve the coverage. The approved certificate will be faxed to you within one business day.
Download Fax Form
Questions? Contact the MOVER’S CHOICE Underwriting Department at 800-852-1968.