2018UnderwritingManual
Quick Reference Sheets
MeramecValleyBrochure
Main Forms
- Form2 – Replacement Cost – Broad Form – HomeOwner
- Form 3 – Replacement Cost – Special Form – Home Owner
- Form4 – Broad Form – ACV – Personal Property (Contents only)
- Form 5 – Replacement Cost – Special Form – Home Owner
- FL1 – Actual Cash Value – Basic Form
- FL502 – Actual Cash Value – Broad Form
- FL_2 Actual Cash Value Broad Form – FL002e10
- FL3 – Actual Cash Value – SpecialForm
Most Common Optional Forms and Endorsements
- Service Line Endorsement
- Home Systems Protection
- FL55 – Replacement Value – Adds Replacement Cost Coverage to Contents
- FL56 – Earthquake
- FL534 – Broad Form
- FO-354 Earthquake –
- FL255 – Repair Cost Terms
- FL125 – Theft of Building Materials
- FL200 – Replacement Cost, Mobile Home
- FO48 – Additional Related Private Structures
- FL155 – Refrigerated Fool Spoilage
- FL208_WaterDamage_Ed1
- FL208_WaterDamage_Ed2
- FL-208A
- FL-208B
- FO356 – Added Animal Perils
- ML-155 Refrigerated Food Spoilage
- Scheduled Personal Property FO61
- FL5107_10_05_Amendatory Endorsement Missouri
- ML5107_10_05_Amendatory Endorsement Missouri
- FL-560 – Dwelling Replacement Cost Terms
Farm Related Forms
- FL6 Ed1.0 Farm Coverages
- FO-6 Farm Coverages
- FO-323 Weight of Ice, Snow, and Sleet
- FO-324 Winter Perils – Livestock
- FO-363 Repair Rebuilding Requirement
- GL-75 – Custom Farming Liability
Builder’s Risk Forms
Various Exclusion Forms
Liability Forms
- GL-1
- GL-2
- GL-70 – Additional Insured
- GL-71 – Additional Insureds
- GL-72 – Additional Insureds and Additional Residences
- GL-73 – Additional Farms or Residences Rented to Others
- GL-74 – Business Activities
- GL-75 – Custom Farming
- GL-76 – Employer’s Liability – Farm
- GL-80 – Office, Professional, Private School or Studio
- GL-81 – Personal Injury
- GL-82 – Watercraft Liability
- GL-84 – Care Provided for Others
- GL-5890 – Punitive Damages
- GL600 – Premises Only Liability – Landlord-Owned, Tenant-Occupied Residential Dwellings
Policy Maintenance and Underwriting Forms
Meramec Valley- Mortgagee Letter
EFT/ACH Authorization Form
Wood Stove Application
Missouri Statutes (Laws) Concerning Fences
Change Form to Add or Delete Coverage (deletion requires insured signature)
Form To Cancel Entire Policy (requires insured signature)
Statement of No Loss
Hartford Service Line Equipment Breakdown ClaimForm
Acord Insurance Binder Form
EvidenceOfInsurance_Acord27
Agency/Agent Paperwork
Agent Commission Direct Deposit Paperwork
Agent Of Record Form
Form W-9
2017_MVMIC_AgencyApplication
Agency Application
2017_MVMIC_AgentApplication
Management System Download Paperwork
Meramec Valley ACH Sweep Authorization Form
