Insurance Documents
Need an enrollment form for your group health insurance? Want to change the billing address for your policy? Better yet, do you wish to make the insurance experts at Curran Coony Penny your official agent?
This page contains useful forms in pdf or Word format that you can download and print for your convenience. All files are in PDF or DOC format.
- New York State Anti-Arson Application
- New York State Insurance Fund – Application for Workers’ Compensation
- Business Insurance Questionnaire
- Real Estate Questionnaire
- Life Insurance Questionnaire
- Commercial Endorsement
- Hold Harmless Agreement (Short)
- Hold Harmless Agreement (Long)
- Homeowners Questionnaire
- Broker of Record Letter – Auto Insurance
- Auto Insurance Endorsement
- COBRA – Sample Letter
- COBRA – Sample Follow Up Letter
- COBRA – Termination Letter
- COBRA – Notice of Qualifying Event
- COBRA – Notice of Unavailability
- COBRA – General Notice
- HIPAA Certificate Form
- Small Group Application
- Enrollment/Change Form
- Enrollment/Change Form in Spanish
- Small Group Recredentialing Form
- Group Contract for HMO or Direct HMO
- Student Questionnaire
- Renewal Worksheet
- Small Group Application
- Contact/Address/Name Change
- Member Enrollment Form
- Addition/Termination Changes
- COBRA Election Form
- Enrollment/Change Form
- HIP Claim Form
- GHI Claim Form
- Application
- CDL Addendum
- Applicant Log
- Phone Evaluation
- Interview Guidelines
- Interview Evaluation
- Background Verification
- Employment Verification
- I-9 Form
- I-9 (Spanish)
- Credit Report Authorization
- Reference Checking Guidelines
- Hold Harmless Statement
- Non-Compete Agreement
- New Hire Checklist
- Sample Rejection Letters
- Welcome Letter
- Check Pick-up Authorization
- Direct Deposit Authorization
- Employee Datasheet
- Employment Information Release
- Expense Reimbursement
- Mileage Reimbursement
- IT-2104
- W-4
- W-5
- W-9
- Benefit Enrollment/Waiver Form
- NYS C2 Guide
- NYS C2 Form
- DB-450
- Health Benefit Waiver
- Illness Verification Letter
- Medical Release
- Disciplinary Notice
- Employee Survey
- Leave of Absence
- NYS Separation Guidelines
- Exit Interview
- Separation Notice
- Notice of Termination Letter