Application and Questionnaire Forms

• Renewal Business Metrogard Application (2008)
  • Garage Keepers
  • Schedule of Leased Locations
  • Schedule of Loss Payees
  • Workers' Compensation
   
• New Business Application for Metrogard Insurance Program(01-07)

Metrogard Supplemental Applications

Looking for Diplomax Applications?Click Here!

• Camp Supplement(01-07)
• Crime Supplement(01-07)
• Beaches, Lakes, Reservoirs(01-07)
• Climbing Walls(01-07)
• Day Care(01-07)
• Electric Utilities (01-07)
• GL - Net Operating Expenditure Worksheet
• Golf_Courses(01-07)
• Ice_or_Roller_Rink(01-07)
• Recycling-Transfer_Station(01-07)
• Ropes-Challenge_Course(01-07)
• School Sexual Molestation(03-06)
• Skateboard_Park(01-07)
• Special_Events_(01-07)
• Swimming_Pool(01-07)
• Town Sexual Molestation(03-06)
• Watercraft(01-07)
• Wharves-piers-docks(01-07)
• Workers' Compensation(10-2007)
• Zoos(01-07)

Professional Coverages

• Police and Fire Accident Insurance Questionairre(03-2008)   NEW!
• Law Enforcement Liability (01-07)
• Public Officials(01-07)
• School Board(01-07)
• CT & RI Brokers  School Board EPLI, New Business.  
• CT & RI Brokers  School Board EPLI, Renewal Business
• CT & RI Brokers  Public Entity EPLI, New Business. 
• CT & RI Brokers  Public Entity EPLI, Renewal Business

Property Insurance

• Builders' Risk application(03-06)

• Vacant, Unoccupied or Tax Takeover Building (03-06)

• Statement of Values Form (Excel Format)

• Covered Bridges(01-07)

Marine Insurance

• Ocean Marine - Hull P & I
• Ocean Marine - Marina Operators Liability Insurance

Umbrella Insurance

•  WH Greene Umbrella Application - 2008

Terrorism Coverage Acceptance / Rejection Form

Surplus Lines Affidavits

• Connecticut
• Massachusetts
• Rhode Island

Send mail to rroy@massamontinsurance.com with questions or comments about this web site.
Last modified: 05/2008