Important Instructions

Completing the Application:

Our online applications may be either:

  • printed & completed by hand, or 
  • enter your information directly into the form fields and then print. 

TIP:  When completing the form online, use the "Tab" key to advance to the next enterable field.

Printing Forms:

  1. Select your printer icon from the Acrobat® Reader Tool Bar.
  2. Place a check next to "Print as Image." This will ensure that the page layout remains intact.
  3. Place a check next to "Fit To Page." This will ensure that the entire page prints.

Submitting the Application:

After completing your application, remember to review your information carefully. Signatures are required in ink. While Adobe® Acrobat® Business Tools provides the capability for electronic signatures, Utica National Insurance Group does not accept this format at this time.

To apply for a quote proposal, please either mail or fax your completed application to our local E&O sales representative (see Agent Locator) or send to the address below. Important: Upon acceptance of our proposal, the original, signed applications should be sent to the address below in order to issue the policy.

 

Mailing Address:

Errors & Omissions Marketing Department
Utica National Insurance Group
P.O. Box 530
Utica, NY 13503-0530

Fax: (888) 451-3805

Questions should be referred to:

Curtis Pearsall, Vice President - Errors and Omissions
Telephone:  (866) 860-1914 ext. 6901
E-mail:  curtis.pearsall@uticanational.com

Customer Service:
Telephone:  (866) 860-1914 ext. 6961
E-mail:  debra.mcallister@uticanational.com

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