Producer Forms
CONTACT INFORMATION
- For ACORD and Supplemental: submissions@nbis.com
- For Endorsement requests: endorsement@nbis.com
- For Filings request: filings@nbis.com
- For Loss Run requests: lossruns@nbis.com
- For Audit Inquiries: audits@nbis.com
- For all other inquiries: contactus@nbis.com
BECOME AN NBIS PRODUCER
Please submit the following documents to newproducers@nbis.com to become an NBIS producer:
- Evidence of current E&O coverage
- Resident licenses for the agency and the individual producer completing section five of the Acord 821 - Producer Information Form.
- Producer Agreement
- Producer Information Form - Acord
- Acord 876 - Background Check Authorization
- W-9
CRANE AND RIGGING PROGRAM
- Crane, Rigging and Heavy Equipment Supplemental Application
- Crane and Rigging Program Flyer
- Equipment Inspection Services - Prof. Liability Supplemental Application
SPECIALIZED TRANSPORTATION PROGRAM
CONCRETE PUMPING PROGRAM
- Concrete Pumping Supplemental Application
- Workers' Compensation Supplemental Application
- Concrete Pumping Program Flyer
EQUIPMENT DEALER PROGRAM
WORKERS COMPENSATION PROGRAM
INDUSTRY INFORMATION