Insurance Forms
Pick the form for the coverage you need, fill it out on your computer, phone or tablet, sign it and email it to info@semperfiservicesolutions.com. Every form is a fillable PDF: click in a box and type.
Pick the form for the coverage you need, fill it out on your computer, phone or tablet, sign it and email it to info@semperfiservicesolutions.com. Every form is a fillable PDF: click in a box and type.
Please do not email Social Security, driver's license or bank account numbers. If we need them to quote, we will collect them securely.
If you want more than one coverage quoted, this single application covers them all.
Our full application for every line. Use it if you want several coverages quoted at once.
Download the FormFor cars, trucks and SUVs you drive personally.
Every driver and permit holder in the household, every vehicle, tickets and claims, and the coverage you want.
Download the FormFor the home you live in, and homes you rent to others.
The home, roof and updates, pools and dogs, wildfire mitigation credits, claims and coverage, all in one place.
Download the FormFor homes, condos and 2-4 unit buildings you rent to others, long-term or short-term.
Download the FormFor vehicles used in your business.
Vehicle and driver schedules, radius, trailers, hired and non-owned auto, and current coverage.
Download the FormFor licensed contractors: liability, workers' comp and the tools you work with.
Your trade, work mix, subcontractors, contracts and claims: what every GL carrier asks first.
Download the FormHiring, safety, vehicles, operations and subcontractor questions for contractors' workers' compensation.
Download the FormList your equipment, serial numbers and values, small tools and how everything is secured.
Download the FormFor CSLB license bonds and contract bonds.
CSLB license bonds, plus bid, performance and payment bonds with a work-in-progress schedule.
Download the FormFor additional liability limits above your auto, home or business policies.
Your underlying policies and exposures, for personal or business umbrella limits.
Download the FormCertificates, loss runs and moving an existing policy to us.
Current clients: request a certificate, additional insured or waiver of subrogation for a job.
Download the FormSign once so we can request your claim history from prior insurance companies.
Download the FormAlready insured and want this agency to service your existing policy? This moves it here without rewriting it.
Download the Form