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

​info@cluettinsurance.com
1
​ © 2021 | Cluett Commercial Insurance Agency, Inc. |  All Rights Reserved.  |  Privacy Policy
  • HOME
  • ABOUT
    • ABOUT US
    • FAQ
    • INSURANCE MARKETS
    • CLAIMS
  • AGENTS
    • GET APPOINTED
    • AGENT LOGIN SITE
    • REQUEST A QUOTE
    • FORMS & APPLICATIONS
    • INSURANCE MARKETS
    • BROKER RESOURCES
  • MARKETS
  • APPS
  • PROGRAMS
    • HIGHLIGHTED PROGRAMS
    • BUSINESS OWNER'S POLICY
    • LIABILITY PROGRAMS >
      • GENERAL LIABILITY
      • UMBRELLA/EXCESS LIABILITY >
        • PACKAGE INSURANCE PROGRAMS >
          • BUSINESS INSURANCE
          • DAY CARE FACILITIES
      • SNOW REMOVAL CONTRACTORS
    • COMMERCIAL AUTO PROGRAMS
    • WORKERS' COMPENSATION >
      • PROGRAMS & PRODUCTS
      • HAZARDOUS INDUSTRIES
    • FLOOD INSURANCE PROGRAM
    • FLEXPAY PROGRAM
    • cluettSpecialty SITE
  • CONTACT
  • Join Us
  • cluettSpecialty
  • AGENT SITE