CP0003 Cause of Loss – Special Form
Download this form...
This form was last modified on April 1, 2013
Not sure what file to download?
1. Complete Online
Files indicated as "complete online" allow you to download and fill out the wording form on your computer without having to print the form and fill in the fields in the more traditional way. It's a more convenient option for most of our brokers. Once you complete the wording form you can save it and proceed with emailing it back to us as an attachment. Again, if you prefer the more traditional way you may also print the form and fax.
2. Download to Print
Files indicated as "print and fax" don't have the option to fill out the wording formm using your computer. You will have to download the file to your computer, print it and then proceed in filling out the form in the traditional manner. Once completed you would fax the application back to us. Some brokers do scan the completed form and email it back to us, the choice is yours.