Print Stand-Alone Forms

This option provides a list of CSIO forms that can be printed for insureds. These forms are available for printing only; no data can be entered into Applied TAM directly using these forms. To use these forms, print the form and enter the necessary information manually, and then scan the completed form to the client file as an attachment.

The following stand-alone forms are available:

ACORD #      Form Name Edition #
11 Auto Accident Information Form 02/1995

 

 Exchange of Information Form 02/1995

 

 Witness Card 02/1995
36 Agent/Broker of Record Change 01/2007
58 Notice of Cancellation or Termination of Policy 11/2007
60 Flood Insurance Notice/Rejection 04/2010
60 MA Massachusetts Property Insurance Underwriting Association Application for Homeowners Insurance 07/2012
60 NY New York Homeowners Supplement - Workers Compensation 03/2008
60 OK Oklahoma Auto Supplement 11/2009
60 TX Texas Auto Supplement 01/2013

 

 Insurance Supplement 01/2015

 

 California Auto Supplement - Mandatory UM Coverage Offer 03/2008
61 FL Florida Commercial Auto Supplement 10/2011
61 LA Louisiana Homeowners Supplement 05/2001
61 MA Massachusetts Property Insurance Underwriting Association 04/2003
61 MS Mississippi Auto Supplement Non-Stacking Uninsured Motorist Insurance 07/2013
61 NM New Mexico Auto Supplement 12/2010
62 AL Alabama Insurance Application Supplement 05/1998
62 IL Illinois Property Supplement 08/2007
62 MO Missouri Property Supplement 08/2007
62 NJ New Jersey Auto Supplement 10/2006
62 OK Oklahoma Property Supplement 05/2006
62 TX Texas Auto Supplement (Spanish Version) 01/2013

 

 Insurance Supplement - Standard Fire Policy Only 01/2015
64 CO Colorado Auto Supplement 01/2009

 

 Louisiana Homeowners Supplement – Loss Settlement for use with HO 2 & 3 05/2001

 

 Massachusetts Residential Property Liability Supplement 02/1997
64 SC South Carolina Personal Property Supplement - Cancellation Rules Disclosure 03/2008
64 US Insurance Supplement - Workers Compensation 01/2015

 

 Louisiana Homeowners Supplement 02/2001
65 NY New York Auto Supplement, Supplemental Spousal Liability Coverage Mandatory Offer of Insurance 01/2003
66 CT Connecticut Fair Plan Application for Basic Property & Liability Insurance 02/2015

 

 Louisiana Dwelling Supplement 04/1998

 

 Insurance Supplement - Commercial Auto Only AK, CT, HI, KS, KY, NJ, NY, and OR 02/2003

 

 Utah Insurance Supplement 06/1994

 

 Illinois/Indiana/Kentucky/West Virginia Mine Subsidence Property Insurance Supplement 07/2015

 

 Buildings Under Construction - New Construction (Builders Risk) 04/2009

 

 Ohio Mine Subsidence - Homeowners and Dwelling Supplement 07/2009

 

 Texas Homeowners and Personal Property Supplement 01/2013

 

 Utah Auto Supplement – Personal Injury Protection Coverage Waiver of Loss of Income Benefits 10/1994
68 Electronic Delivery Supplement 08/2013
68 FL Citizens Property Insurance Corporation, Residential - Dwelling Wind Only 09/2004
68 NJ New Jersey Insurance Underwriting Association 05/2010
68 MD Maryland Personal Property Supplement 01/2007

 

 Ohio Offer of Mine Subsidence Insurance Coverage 07/2009

 

 Texas Homeowners and Personal Property Supplement 05/2007
68 WV West Virginia Personal and Commercial Umbrella Liability Supplement Uninsured / Underinsured Motorists Coverage Offer of Single Limit Liability 04/2012
69 MD Maryland Insurance Supplement 10/2013
69 NY New York Personal Property Supplement 08/2008
82 Watercraft Application 06/2007
83 Personal Umbrella Application 09/2007
88 Personal Insurance Application Applicant Information Section 09/2007
89 Residential Section 09/2007
91 Good Student/Driver Training 10/2009
93 Young Driver Questionnaire 03/2012
103 Personal Auto Application Schedule Additional Resident and Driver Information Section 03/2013
133 Workers Compensation Insurance Plan Assigned Risk Section 06/2015
133 FL Florida Workers Compensation Addendum to ACORD 130 FL 03/2013
144 Glass & Sign Supplement 07/2007
220 FL Citizens Property Insurance Corporation Commercial and Commercial Residential Wind 12/2012
221 FL Citizens Property Insurance Corporation Wind Only - Supplemental 07/2002
401 Agriculture Application - Applicant Information Section 09/2007
402 Agriculture Property Section 09/2007
403 Agriculture Property Section - Scheduled and Unscheduled Farm Personal Property 09/2007
404 Agriculture Liability Section 09/2007
405 Agriculture Premises Diagram 09/2007
406 Unscheduled Farm Personal Property Inventory Form 09/2007
407 Livestock Mortality Section 09/2007
408 Equine Liability Supplement 09/2007
810 Business Income / Expense / Rental Value - Supplement to Property Section 12/2014
811 Value Reporting Information Supplement to Property Section 12/2014
851 MD Maryland Personal Property Supplement 11/2008
853 MN Minnesota Homeowners Personal Property Supplement 08/2010
CSIO #      Form Name Edition #
CSIO H0608EWTS CSIO Watercraft Trailer Supplement 06/2008
CSIO H0608FWTS French Canadian Watercraft and Trailer Supplement 06/2008
CSIO H0608ENPAS CSIO Personal Articles Supplement 06/2008
CSIO H0608FRPAS French Canadian Personal Articles Supplement 06/2008
CSIO AX AB Alberta Application for Automobile Insurance 01/2014
CSIO AX AT Atlantic Application for Automobile Insurance 10/1996
CSIO AX AT-F Atlantic Application for Automobile Insurance - French 10/1996
CSIO AX NB New Brunswick Application for Automobile Insurance 01/2014
CSIO AX NB-F French New Brunswick Application for Automobile Insurance 01/2014
CSIO AX NL Newfoundland and Labrador Application for Automobile Insurance 01/2014
CSIO AX NS Nova Scotia Application for Automobile Insurance 01/2014
CSIO AX NT NWT Application for Automobile Insurance 01/2014
CSIO AX NU Nunavut Application for Automobile Insurance 01/2014
CSIO AX ON Ontario Application for Automobile Insurance 01/2014
CSIO AX ON-F Ontario French Auto Application 01/2014
CSIO AX QC Application for Quebec Automobile Insurance 03/2014
CSIO AX QC-F French Quebec Application for Automobile Insurance 03/2014
CSIO AX YT Yukon Application for Automobile Insurance 01/2014
APPLIED AX ASI Application for Automobile Insurance 09/2007
CSIO CX COMMPACK Commercial Package 01/1990
CSIO CX COMMPACK French Commercial Package 01/1990
CSIO CXGENLIAB Canadian General Liability 01/1990
CSIO CXGENLIAB-FR French Canadian General Liability 01/1990
CSIO CX PROP Canadian Commercial Property 01/1990
CSIO CX PROP-FR French Canadian Commercial Property 01/1990
CSIO COMMVEH 0206E Canadian Commercial Vehicle Supplement 08/2007
CSIO COMMVEH 0206F Canadian French Commercial Vehicle Supplement 08/2007
CSIO FM Canadian Farm Application 10/2003
CSIO FMPR Canadian Farm Property Schedule 10/2003
CSIO FMOC Canadian Farm Outbuildings/Contents Schedule 10/2003
CSIO FM-FR French Canadian Farm Application 10/2003
CSIO FMPR-FR French Canadian Property Schedule 10/2003
CSIO FMOC-FR French Canadian Farm Outbuildings/Contents Schedule 10/2003

Use the following steps to print stand-alone forms.

  1. At Home Base, click Utilities.
  2. On the Utility Manager screen, open the Forms folder in the treeview and select Print Stand-Alone Forms.
  3. Click the arrow to continue.
  4. Select a CSIO form to print and click Print.

  5. Select Print or Preview and click OK.

    If you select Print, the form prints immediately.

    If you select Preview, click Print to print, or click the X in the upper right corner of the screen to close it without printing.