Submission Requirements, Forms & Applications

Please find the submission requirements, forms and applications for each of our insurance programs below! To get started, download the appropriate forms and applications and send them to submissions@afcins.com or call 877-456-5323 for additional information. We look forward to hearing from you!

 Social Services Insurance Program

AFC Insurance has more than 100 years of combined staff experience insuring for-profit and non-profit social services risks. Our Social Services Insurance Program – also referred to as the Humanity PlusSM Program – is written with “A” rated carriers and offers unique coverages specifically designed to fit the needs of these organizations.

Submission Requirements:

  • Acords
  • Supplement
  • Auto Supplement & Driver List (Auto Coverages Only)
  • 5 Years Currently Valued Loss Runs
  • Claims Details — If Applicable
  • Complete Staff Breakdown
  • Detailed description of risk

Forms & Applications:

For eligible risks included in the Social Services Insurance Program, please visit the program page.

Social Services Insurance Program Inquiry

Have a question about our Social Services Insurance Program? Please provide the below information and we will contact you shortly!

Home Health Care Insurance Program

In-Home PlusSM, our Home Health Care Insurance Program, provides specific coverages necessary in order to meet the needs of a full range of eligible home health care services. This program is written exclusively with an “A” rated carrier.

Submission Requirements:

  • Acords
  • Supplement
  • Auto Supplement & Driver List (Auto Coverage Only)
  • 5 years Currently Valued Loss Runs
  • Claims Details – If Applicable
  • Complete Staff Breakdown
  • Detailed description of risk

Forms & Applications:

For eligible risks included in the Home Health Care Insurance Program, please visit the program page.

Home Health Care Insurance Program Inquiry

Have a question about our Home Health Care Insurance Program? Please provide the below contact information and we will contact you shortly!

 

The Commercial Child Care Insurance Program is written by an “A” Rated Carrier with competitive rates, excellent risk control services and claims management. The Child Care Insurance Program is written specifically for professional licensed commercial child care facilities.

Forms & Applications:

For eligible risks included in the Commercial Child Care Insurance Program, please visit the program page.

Commercial Child Care Insurance Program Inquiry

Have a question about our Commercial Child Care Insurance Program? Please provide the below information and we will contact you shortly!