Get Tx Mcleckie Insurance Group Contingent Motor Truck Cargo Liability Application Form 2021-2025

Filling out the TX McLeckie Insurance Group Contingent Motor Truck Cargo Liability Application Form online is an essential step for individuals or businesses seeking contingent motor truck cargo liability insurance. This guide provides clear, step-by-step instructions to help you complete the application with confidence.

Follow the steps to successfully complete your application.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering the name of the applicant in the designated field. This should reflect the individual or business name applying for insurance.
3. Next, input the mailing address. Ensure that you provide a complete and accurate address where correspondence can be sent.
4. Indicate the desired effective date for the coverage. This is the date when you want your insurance policy to start.
5. Enter your FMCSA (ICC) Docket Number in the next field, if applicable. This number is crucial for regulatory compliance.
6. State the number of years you have been in business. If you are new to the industry, briefly describe your prior experience.
7. Provide your Broker Bond Number or Bank Letter of Credit as requested. This information is necessary for processing your application.
8. Select your preferred limit and deductible from the options provided. You may choose from several coverage limits along with corresponding deductibles.
9. Enter the number of loads brokered in the last three years and estimate the number of brokered loads for the forthcoming year.
10. Complete the gross receipts section by providing the figures for the last three years and your estimated gross receipts for the forthcoming year.
11. List the types of commodities hauled along with the maximum value, average value, and percentage of total loads for each category.
12. Answer the questions regarding any lawsuits or claims filed against you in the past three years, providing additional explanations if necessary.
13. Finally, sign the document, indicating your position and the date. Review all information to ensure accuracy before proceeding.
14. Once you have filled out the form completely, you may save changes, download, print, or share the form as needed.

Complete your TX McLeckie Insurance Group contingent motor truck cargo liability application form online today for streamlined processing.