About Schinnerer
Industries and Services
Policyholders
Brokers
Contact
Advanced Search
Home
/
Industries & Services
/
Energy
/
Applications
Energy & Utilities
Applications
QuickClicks:
- Please select -
Recommended by your firm
Recommended by Schinnerer
Webinar List
Emerson Brown
The Musial Group
Quick Reference Card
Insurance Primer
Edit QuickClicks
Program Resources
Applications
Claims Resources
FAQs
Partners
Policy Forms
Products
Related Organizations
Risk Management
Toolbox
To apply for coverage please submit a completed Acord application along with one of the below supplemental applications and 5 year currently valued loss runs if applicable.
Contractors Supplemental Questionnaire
Word Template
-
PDF
Oil & Gas Supplemental Questionnaire
Word Template
-
PDF
Pipeline Supplemental Questionnaire
Word Template
-
PDF
Utility Supplemental Questionnaire
Word Template
-
PDF
Driver Accident Worksheet
Word Template
-
PDF
Help with Applications:
Brokers should submit the application by email to
vos.Energy@Schinnerer.com
or by fax to (212) 642-0315.
Customers should send the completed application to your broker. If you do not have a broker, call us at (866) 674-9778 for a broker near you.
Help with Word Templates
Have you faxed in your
FCC form
? Recent FCC regulations require that we obtain permission from you before we can fax you anything, including quotes. If your office has not submitted a signed form, please include one along with your application so we can respond promptly to your request.