PestSure Members Resource Center

FORMS:

APPLICATIONS:

Insurance

• PestSure Certificate Request [DOC]
  
• Notification of Vehicle Change [DOC]
  

Claims

• Automobile Liability [PDF]
• General Liability [PDF]
• General Release of All Claims [PDF]
• Workers' Compensation [PDF]
  • AL • AR • AZ • CA • CO • CT • DC • DE • FL
  • GA • ID • IL • IN • IA • KS • KY • LA •MA • ME
  • MD • MI • MN • MO • MS • MT • NC • ND • NE
  • NH • NJ • NM • NV • NY • OH • OK • OR • PA
  • RI • SC • SD • TN • TX • UT • VT • VA • WV
  • WI • WY

Loss Prevention

• Accident Report Form [PDF]
  
• Accident Investigation Form [PDF]

Program Coverages

• Commercial Auto Liability [PDF]
• Commercial General Liability [PDF]
• Workers' Compensation [PDF]
  

Optional Coverages

• Fiduciary Liability Insurance [PDF]
• ERSIA Compliance Bond [PDF]
• First Party Fidelity Policy [PDF]
• Third Party Fidelity Coverage [PDF]
• Employment Practices Liability [PPT]
  • Application 1 - all states except
        KY, NJ, OH, MO, FL
  • Application 2 - KY, NJ, OH
  • Application 3 - FL