In order to provide our agents with the most up to
date applications, we are posting a link to the USLI
website and its applications library.  


Select a category from the green menu on the left,
then click on the type of policy.  Click the application
button.  On the new screen select a form from the
drop down menu.  You can now either View and Print
or have the form emailed to your email box.
WESTERN HERITAGE
* Please include any ACORD forms where            
applicable, including:

- 125   Commercial Insurance Application
- 126   Commercial General Liability Section
- 140   Property
- 147   Installation/Builders Risk
- 127   Business Auto
- 128   Garage & Dealers Section
- 143   Transportation Section
- 132   Trucks/Motor Carriers Section
ALL LINES:  USLI
PROFESSIONAL LINES
TERRORISM FORMS
Click the links below to access our most popular applications.  
They are in PDF format.  You will need Adobe Acrobat 5.0 or
better to view them.  Mail, email, or fax the application to our
office for quick action.

The submission of an application alone does not bind coverage.

Contact our office if you need assistance in accessing any form.
Policy Applications
PERSONAL LINES
INLAND MARINE
COMMERCIAL LINES
TRANSPORTATION AND GARAGE
Indiana Surplus Lines Insurance, Inc.
Indiana Surplus Lines Insurance, Inc.  223 W Ontario Drive, Muncie, IN 47303  Phone 765-287-6930, 800-786-6930  Fax 765-287-6932