For your convenience, most of our supplemental and advisory rate applications are available below as PDF files. In order to view these applications you will need Adobe Acrobat Reader installed on your computer. This is a free application and can be downloaded by clicking here.

All supplemental applications must be submitted with the appropriate Acord application. Some of the applications are in an editable PDF format. Click on the first field and type in your response. You can move to the next field by using the tab key (use the shift and tab keys to move back) or with your mouse. You will also find check boxes on some forms. These will allow you to select your response by clicking on the appropriate box or by pressing the space bar.

Once the form is complete, you can print it by clicking on the print button on the bottom of the last page. The clear button will clear the entire form and allow you to start over. The submit button will electronically submit the data on the form. Please make sure the form is complete and correct prior to submitting. Applications submitted electronically will be quoted and returned by fax. Advisory raters will be bound effective date and time received by RIC, or a later requested date.

Supplemental Applications
(Must submit with appropriate Acord Application)
Specialty Applications
Animal Services Program Alarm, Fire Ext. Instl.Repair
Amusement Device Program Beauty & Barber
Chubb Check List Builders Risk
Contractors Questionnaire Caterer
Day Care/Preschool Commercial Auto
Detective and Investigative Agency Commercial Physical Damage
Event/Party Planners & Coordinators Commercial Watercraft
Excavators and Graders of Land Supplemental Condo/Homeowners Associations
Exercise and Health Studio Dwelling Submission Form
Farm Liability Exterminators
Garage Supplemental - Salvage Yard/Rebuilding Garage Liability
General Contractor's Questionnaire Habitational
Heavy Truck, Bus and Equipment Supplemental Half Way House
Janitorial Program Home Health Care General & Prof. Liab
Landscaping General Liability Medical Equipment Supply Stores
Liquor Liability Motor Truck Cargo
Martial Arts Studio Personal Umbrella
Motel Program Pool Maintenance/Management
Motorcycle Repair Pumpkin Patches and Christmas Tree Lots
Motorhome & RV Repair Supplemental Push Carts
Outfitters and Guides Security Guard
Pool Contractors Special Event
Product Liability Supplemental Truckers Warehouse
Protection Class 9 & 10 Questionnaire Watercraft
Public Auto Supplemental Application All Other Risks - Supplemental to CAS-APP-1
Public Auto Supplemental Application Limousine and Airport Shuttle
Restaurant/Tavern
Sports Camps/Clinics/Leagues
Tire Dealers
Transportation Services Supplemental
Tree Trimmers
Vacant Building Program
Valet Parking
Welding Brazing and Cutting
Wood Burning Stove Questionnaire
Acord Applications Miscellaneous Applications
Acord 80-Homeowners Additional Insured Questionnaire
Acord 84-Dwelling Fire Diligent Search Report (SL-2)
Acord 125-Commercial Insurance General Liability Loss Notice
Acord 126-Commercial General Liability Property Loss Notice
Acord 127-Business Auto
Acord 137-Commercial Auto
Acord 140-Property


CA License #0482919