Process for Submitting a Risk

Follow this step-by-step guide to make the submission process run smoothly and quickly. If you don't have a broker's kit and applications, call us at (800) 622-8272 or download the applications from our website.

Step 1:

If you are not sure if your risk will fit our program, call us at (800) 622-8272 or fax a brochure/summary of the risk's services to us for pre-qualification at 845-796-3661.

Step 2:

Fill out the General Application and supplemental application that best fits the risk. The applications can be obtained by downloading them from our site. Include the following information with your applications:

• A current list of vehicles for the facility
• A complete ACORD submission (new business only)
• Five years hard copy of Loss Runs
• Agency descriptive information and/or brochures
• Statement of Values
• Financials

Step 3:

Mail the information to our agency at:

Mail: Irwin Siegel Agency
PO Box 309
25 Lake Louise Marie Road
Rock Hill, NY 12775
Attn: Underwriting Department

Email: siegel@siegelagency.com

Fax: 845.796.3661

Step 4:

Once we receive your information, one of our experienced underwriters will call you. The underwriter will give you the status of your submission and answer any additional questions you may have.

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