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Commercial Business, Personal, & Specialty Programs

Admitted and Non-Admitted Markets

Easy access to a large variety of excess and surplus supplemental applications pertaining to commercial coverage and industries, non-standard personal lines and our exclusive national programs. Contact one of our specialist if you have questions regarding E&S supplemental applications. Please note, not all applications are accessible via our site.

Please contact a location or find a specialist for additional applications that may not be accessible through our website.

Acords
  • Regency Acord 105 Aparment Building Supplement
  • Regency Acord 106 Vacant Building Supplemental
  • Regency Acord 125 Commercial Insurance Application
  • Regency Acord 126 Commercial General Liability Section
  • Regency Acord 127 Business Auto Section
  • Regency Acord 128 Garage and Dealers Section
  • Regency Acord 129 Vehicle Schedule
  • Regency Acord 130 Flordia WC App
  • Regency Acord 130 Workers Compesation Application
  • Regency Acord 131 Umbrella Excess Section
  • Regency Acord 132 Truckers Motor Carrier Section
  • Regency Acord 137 NY Commercial Auto Section
  • Regency Acord 138 New York Garage and Dealers
  • Regency Acord 140 Property Section
  • Regency Acord 143 Transporation Section
  • Regency Acord 146 Equipment Floater Section
  • Regency Acord 147 Installation Builders Risk Section
  • Regency Acord 149 Dealer Section
  • Regency Acord 160 Business Owners Section
  • Regency Acord 175 Commercial Policy Change Request
  • Regency Acord 180 Errors and Omissions Section
  • Regency Acord 185 Restaurant Tavern Section
  • Regency Acord 186 Contractor Supplement
  • Regency Acord 187 Professional Liabilty Supplement
  • Regency Acord 188 Employment Related Practices Liability Section
  • Regency Acord 2 Auto Loss
  • Regency Acord 24 Cert of Property Ins
  • Regency Acord 25 Cert of Liabilty
  • Regency Acord 28 Evidence of Comm Property Insurance
  • Regency Acord 283 Personal Umbrella Application
  • Regency Acord 301 Flood Insurance Application
  • Regency Acord 35 Cancellation Request
  • Regency Acord 36 Agent-Broker of Record Change
  • Regency Acord 37 Statement of No Loss
  • Regency Acord 70 Personal Policy Change Request
  • Regency Acord 75 Insurance Binder
  • Regency Acord 80 Homeowner Application
  • Regency Acord 802 Hotel Motel Supplement
  • Regency Acord 81 Personal Inland Marine Application
  • Regency Acord 83 Personal Umbrella Application
  • Regency Acord 84 Dwelling Fire Application
Agency Appointment Paperwork
  • Producer Agreement ALL States
  • Questionnaire All States
Commercial
  • Beauty Supplemental
  • Contractor Supplemental
  • Daycare Supplemental
  • Habitational Supplemental
  • Motor Truck Cargo
  • Rental Liability
  • Restaurant Supplemental
  • Vacant Supplemental
Personal
  • Habitational Supplemental
  • Hudson Supp with Regency Logo Fillable
  • Lexington Ins Builder's Risk Supplemental
  • Lexington Ins Corporation LLC or LLP Named Insured Questionaire
  • Lexington Ins Excess Flood Insurance Application
  • Lexington Ins Homeowners Dwelling Program Application
  • Lexington Ins older Home Questionaire
  • Lexington Ins Personal Inland Marine Application
  • Personal Lines Builder's Risk Supplemental
  • Personal Lines Older Wiring Questionaire
  • Personal Lines Protection Class 9 and 10 Questionaire
Professional
  • Allied Health
  • Commercial Crime
  • Cyber Liability
  • Directors and Officers
  • EPLI
  • Home Healthcare/Medical Staffing Professional Liability
  • Miscellaneous Professional Liability
Transportation
  • Motor Truck Cargo
  • Non-trucking Liability
  • Trucking – Non-fleet
  • Trucking Supplemental
  • Vehicle Schedule
Workers Comp
  • Auto Service Supplemental
  • Building Maintenance Supplemental
  • Catering & Delivery Supplies
  • Disability Benefits Law
  • Healthcare Supplemental
  • Restaurant Supplemental
Contact Us
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Corporate Headquarters
Corporate Address
217 E. Hallandale Beach Blvd
Hallandale Beach, FL 33009

P: 800.982.1895



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