Insurance Forms

Two forms are live today. The full library is in progress and released as forms are finalized and reviewed. Membership required to download.

Personal Lines

Personal Auto IBP-PA-POI-001

Personal Auto Proof of Insurance

Standard proof of insurance card for personal auto policies. Includes named insured, vehicle, policy number, coverage summary, and policy term. Accepted by all 50 states.

In Progress IBP-HO-001

Homeowners Application

Comprehensive homeowners application with dwelling details, prior losses, and optional coverages.

In Progress IBP-UM-001

Personal Umbrella Application

Excess personal liability application with underlying schedule and exposure questionnaire.

In Progress IBP-RN-001

Renters Application

Tenant personal property and liability application for apartment, condo, and rental dwellings.

Commercial Lines

Commercial IBP-CM-COI-001

Commercial Certificate of Insurance

Standard commercial certificate documenting coverage types, policy numbers, limits, and effective dates for third-party certificate holders. Covers GL, auto, umbrella, and workers comp lines.

In Progress IBP-GL-001

Commercial General Liability Application

CGL submission covering operations, products, completed operations, and premises exposure.

In Progress IBP-CP-001

Commercial Property Application

Building and contents schedule with construction, occupancy, protection class, and valuation.

In Progress IBP-BOP-001

Business Owners Policy Application

Combined property and liability application for small commercial risks with BOP eligibility questionnaire.

In Progress IBP-WC-001

Workers Compensation Application

WC & employer liability application with payroll schedule, experience modification, and class codes.

Specialty Lines

In Progress IBP-PL-001

Professional Liability (E&O) Application

Errors & omissions application for professional service firms with prior acts and claims history.

In Progress IBP-CY-001

Cyber Liability Application

Cyber risk questionnaire covering data handling, security controls, revenue, PII volumes, and prior incidents.

In Progress IBP-DO-001

Directors & Officers Application

D&O application with corporate governance, financial statements, ownership structure, and litigation disclosure.

In Progress IBP-EP-001

Employment Practices Liability Application

EPLI application covering employee count, HR policies, prior claims, and workforce practices disclosures.

Surplus Lines

In Progress IBP-SL-001

Surplus Lines General Submission

Surplus lines submission package for E&S markets including diligent search documentation.

In Progress IBP-SL-002

Surplus Casualty Supplemental

Supplemental questionnaire for high-hazard casualty risks requiring surplus lines placement.

Life Insurance

In Progress IBP-LI-001

Term Life Insurance Application

Coverage for a set number of years — 10, 20, or 30 — paying a death benefit only if the insured dies during the policy term. Includes health history, beneficiary designation, and face amount selection.

In Progress IBP-LI-002

Whole Life Insurance Application

Lifelong protection with a guaranteed death benefit and a cash value component that grows at a fixed rate over time. Application covers insurability, premium mode, and dividend option elections.

In Progress IBP-LI-003

Universal Life Insurance Application

Permanent coverage combining lifelong protection with flexible premium payments and an adjustable death benefit. Includes interest crediting method election and target premium disclosure.

Health Insurance

In Progress IBP-HI-001

Individual Health Insurance Application

Purchased by a single person or family, often through a state or federal marketplace. Covers demographics, household income for subsidy eligibility, plan selection, and enrollment period documentation.

In Progress IBP-HI-002

Group Health Insurance Application

Employer-sponsored coverage for workers and their dependents under a single master policy. Includes employer census, contribution strategy, waiting period elections, and COBRA administration details.

In Progress IBP-HI-003

Medicare Supplement (Medigap) Application

Fills gaps in Original Medicare Parts A and B coverage — copayments, coinsurance, and deductibles. Application includes Medicare eligibility verification, plan letter selection (A through N), and open enrollment attestation.