Cluett Commercial Insurance Agency, Inc.
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Cluett Commercial Insurance Agency, Inc.

Commercial Auto Liability ​Forms 

Please download and save the following documents. 

​Once all required documents are completed, please upload below. You must also include the signed invoice(s) and finance agreement (if applicable) that your received directly from your underwriter.

Auto Liability Quote Letter
Auto Physical Damage Quote Letter
Vehicle Registration(s) / Lease Agreement
Acord Application 125
Acord Application 127
Acord Application 137 (state)
Affidavit by Producing Broker Form
Excel Transportation Application
SL-2 Diligent Effort Form
Cluett Disclaimer Form
Loading & Unloading Sample Endorsement
Emergency Use Exclusion
CA UM Coverage Selection (pre-bind)
CA Surplus Lines D1
California Diligent Search Form CASL2
Loading Unloading CCA 001 04 16
Unapproved Driver MCA 126 03 18
Diligent Search Form
Lights & Siren Exclusion
​
Cardigan
Surplus Lines Document (NJ)
​​Coverage Selection Form (NJ)
UM Rejection Selection (OH)
Fraud Warning (OH)
Coverage Selection Forms (PA)
Personal Injury Protection Form (MD)
​Supplemental Uninsured Motorist (MD)







    ​Upload Completed Documents

    Please fill out form and upload the Completed and Signed documents (if indicated) listed below.   ​
    The following documents are required to bind (if marked *).
    Signatures of Agency and Insured required. Max upload file size: 20MB
Submit


Cluett Commercial Insurance Agency, Inc.
431 Country Club Way, Units C&D

Kingston, MA 02364
Toll Free: 800-926-6771
Massachusetts: 781-582-1600
Fax: 781-585-4180

​[email protected]

​ © 2026 | Cluett Commercial Insurance Agency, Inc. |  All Rights Reserved.  |  Privacy Policy
  • HOME
  • ABOUT US
  • AGENTS
    • GET APPOINTED
    • REQUEST A QUOTE
    • PAY NOW
    • INSURANCE MARKETS
  • PROGRAMS
    • COMMERCIAL AUTO >
      • NEMT
    • WORKERS' COMPENSATION >
      • PROGRAMS & PRODUCTS
      • WORKERS COMP AMBULANCE NEMT
      • SPEED QUOTE
  • GET A QUOTE
    • REQUEST A QUOTE
    • NEMT PREMIUM INDICATION
    • WORKERS' COMP SPEED QUOTE
  • MARKETS
  • RISK MANAGEMENT
  • CONTACT
  • BLOG
    • NEMT BLOG
    • WORKERS' COMP BLOG
  • JOIN US
  • MAKE A PAYMENT