Departments for Kentucky
Claims
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Submit a Claim
"Please fill out the appropriate form listed below and email it to newclaims@amcins.com
NOTE: Please use Adobe Acrobat Reader 8.0 or greater for completing and submitting the following claim forms. Visit www.adobe.com to download the latest version."
Commercial Lines Excess & Surplus Lines / Binding Authority
Organized by category of coverage (Garage, Property, etc.), you will be able to easily sort through the forms we have provided to locate the one you need.Employment Practices Liability
Find both the short and long form applications. All applications in this section can be filled out online, but you will need the latest version of Adobe Acrobat which can be downloaded by clicking the link below the applications.-
Chartis
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Torus - EPLI
AMC EPLI Online Tutorial / Webinar (click here to watch)
Fuel Marketers
Find the AMC Fuel Marketer Supplemental, which includes the underwriting guides, also UM, PIP, fraud and terrorism forms for all states AMC writes in.Inland Marine
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Inland Marine Program
Class of Business Applications Required Bailee Customers Acord 125 & Bailees Supplemental Builder’s Risk Acord 125 & Acord 147 Contractor’s Equipment Acord 125 & Acord 146 Exhibition Acord 125 & Exhibition Supplemental Fine Arts Dealers Acord 125 & Fine Arts Dealers Supplemental Miscellaneous Coverage Acord 125 & Acord 146 Motor Truck Cargo Acord 125 & Acord 143 Transportation Acord 125 & Acord 143 Trip Transit Acord 125 & Trip Transit Supplemental Warehouseman’s Acord 125 & Warehouse Legal Supplemental
Personal Lines
From Howeowners Applications to Excess Flood Supplementals to Personal Auto forms, we have you covered. Locate all of AMC’s Personal Lines forms here.Pollution
Looking to obtain pollution coverage for a risk? We have placed the forms you will need for a submission in this easily accessable area of Agent Central.Retail Service Station
Provides Service Station Application, along with all of AMC’s supplementals, fraud and terrorism forms, and other forms you need for a complete submission.-
Body Shops
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Gas Stations
AMC / Fairmont Service Station Application Applicable Supplemental Applications Three (3) year hard copy loss runs currently valued within the last 90 days. -
Repair Garages
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Truck Stops
Work Comp
Look here for all supplementals, questionnaires, notices and other applicable forms when submitting a risk to AMC’s Workers’ Compensation Department.back to top
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