Home

      Board Member

      NJIUA Mission

      About Us

      Forms

      Producer

      Consumer

      Claims

      Financials

      Contact

      Links

      Employment

      What's New?

      Make a Payment


NJIUA FORMS

Adobe® Acrobat®
Reader required



The following is a list of current applications, questionnaires, and endorsement forms of the Association.

DWELLING BUSINESS

ACORD Form Application and Instructions

Required with a new or renewal application for insurance on all vacant dwelling business. Also, required when a dwelling property goes vacant during the policy term.

Required with any application when the named insured is a corporation, holding company, or other fictitious entity.

Required application when the Insured is not using an Agent or a Broker.

COMMERCIAL BUSINESS

Provides offer for Certified Acts of Terrorism Coverage, discloses premium charge, and discloses existence of federal backstop. Customer must sign and return to reject coverage.


Used to request insurance for Commercial Fire Business for building and contents coverage.

Required with any commercial applications

Required with any application when the named insured is a corporation, holding company, or other fictitious entity.

Required with a new or renewal application for insurance on all vacant commercial business. Also, required when a commercial property goes vacant during the policy term.


ENDORSEMENT REQUEST FORMS

This form is used when an insured requests their policy be cancelled. It should be signed by the insured and the producer if applicable.

Endorsement Form for Limited Fungi, Wet or Dry Rot, Or Bacteria Coverage

Used to correct the spelling of the named insured, mailing address of the named insured, and to add, delete, or change a mortgage on both dwelling and commercial policies.

Used to request changes on both dwelling and commercial policies for changes not provided by the Producer Endorsement.




CRIME BUSINESS