Get Form 5c Equpment Provider List

Filling out the Form 5c Equipment Provider List is essential for ensuring that all necessary providers are listed as additional insured on your insurance policies. This guide provides step-by-step instructions on completing this form online, making the process straightforward and efficient.

Follow the steps to successfully complete the Form 5c Equipment Provider List

1. Click ‘Get Form’ button to access the Form 5c Equipment Provider List and open it in the editor.
2. Review the list of equipment providers. Check all appropriate boxes next to the providers that require to be named as additional insured under your Auto Liability. Note the ones marked with single (*) or double (**) asterisks, which have further requirements.
3. Fill in your motor carrier’s company name, address, and phone number in the designated fields on the form.
4. Provide your motor carrier's email address in the specified area.
5. Ensure the insurance agent or insurance company's signature is included, along with the date of completion.
6. Enter the insurance agent or insurance company's email address.
7. Once you have completed the form, review all entries for accuracy. Save changes if necessary.
8. Finally, download, print, or share the completed form as required. Be sure to fax it to your insurance agent along with a copy of the certificate stating that the listed providers are additional insured.

Complete your Form 5c Equipment Provider List online today to ensure compliance and protect your interests.