Applications

      Colonial General offers a vast array of applications to our agents!  To ensure a faster service, please complete the necessary application(s) in its entirety and submit along with acords 125, 126, and 140 if applicable for the given risk.  Acords can be found under Miscellaneous Forms drop down.  Remember, Colonial General cannot bind coverage without this required information.

PERSONAL LINES

COMMERCIAL LINES

AUTOMOTIVE

GARAGE

RETAIL AGENT AGREEMENT CONTRACT FORM

MISCELLANEOUS FORMS

We have applications for Brokerage, Preferred Commercial, and Professional Lines with specific carriers -unfortunately we do not have any standard applications for these lines at this time.

Please contact the underwriter below to obtain the right application for your insurance needs.

brokerage & Professional Lines

Arizona Office

DENISE AUSTIN
Broker
A-H, I-Z,
Leavett, Radigan Pacific, Pacific Reserve, Website

Utah Office

KIM BYRD​​
Assistant Manager & Underwriter
Agents B-C, H-J, O-S, WYO​​

JENNI FABER
Underwriter
Agents A, D-G, K-N, T-Z

MIRJAM DUFFIN
Assistant Underwriter
(to Jenni)

PREFERRED COMMERCIAL

Arizona Office

MICHELLE MAINWOLD
Underwriter

Utah Office

JULIE BAHR
Underwriter

TINA HAIR
Assistant Underwriter

Can't find the application you need or don't know who to talk to?

Fill the form out below explaining what you're looking for.  We will connect you with the right representative!

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