Agencies may use the forms below as a basis for developing their own forms.
Please remember: Every agency is unique. Therefore, these forms should be modified to fit your agency's needs. Where possible, we have identified the form's author, but in some instances we were not able to determine from where the checklist originated.
Building a Stronger Future...
One Agency at a Time.
Burand & Associates, LLC
215 S. Victoria Ave., Suite E
Pueblo, CO 81003
Workers' Compensation Coverage Checklist, on MyNewMarkets.com (Developed by Chris Boggs, of MyNewMarkets.com)
Checklist (a) (Anonymous)
Checklist (b) (Anonymous)
Checklist (c) (Anonymous)
Checklist 8 (Insurance Institute of America)
Insured's Data Sheet (Independent Insurance Agents of America)
Customer Profile Sheet (Independent Insurance Agents of America)
Commercial Lines Policy Review (Independent Insurance Agents of America)
Submission Checklist (Anonymous)
What are your clients' insurance needs? (Burand & Associates, LLC)
Additional Resource (this will take you to another website): The International Risk Management Institute offers an Exposure Survey Questionnaire and IRMI Insurance Checklists. Click on www.irmi.com to learn more.
Partnership Checklist (Developed by Chris Burand, Burand & Associates, LLC)
Don Phin, a top consultant on workplace relations, provides a variety of free materials on his Web site. Check out www.DonPhin.com for a comprehensive list of Free Materials.
Listen to a one hour teleconference: "Managing Employees at Your Agency: A One Hour Conversation with Don Phin." This teleconference covers how to hire right, manage performance, discipline properly and fire without getting sued. Click here to listen to an audio mp3 file (26.13 MB).
These forms can be important tools to help minimize E&O claims, but the use of these forms does not guarantee E&O claims will not be incurred.
Also, no form can cover every possible exposure and new exposures and coverages frequently arise, so a form should be reviewed and revised periodically.
These forms may assist in improving the quality of an agency's services. However, neither Chris Burand nor Burand & Associates, LLC guarantee that these forms will result in either improved operations or a loss free E&O experience.
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We have compiled a number of popular forms for agencies to use as a basis for developing their own forms.
Click Forms to view the complete list.