Miscellaneous Applications
Cox Specialty Markets writes multiple lines of insurance in many different industries. It can be difficult to determine which application to use. If you are not sure which application to use, please call us at
(800) 648-0357 and we will be glad to help.
| ACORD 24 - Certificate of Property Insurance | Download |
| ACORD 25 - Certificate of Liability Insurance | Download |
| ACORD 30 - Certificate of Garage Liability Insurance | Download |
| ACORD 37 - Statement of No Loss | Download |
| Conifer Terrorism Form | Download |
| MESA Underwriters Terrorism Form | Download |
| Ohio Surplus Lines Affidavit (INS4024) | Download |
| West Virginia Surplus Lines Affidavit (FORM DDF) | Download |
| White Pine Terrorism Form | Download |
Cox Specialty Markets
80 Troy Town Dr. Troy,
Ohio 45373
Contact Us
Telephone: (800) 648-0357
Fax: (877) 311-6887
Email: csm@coxspecialty.com
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