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Central Insurance Services, Inc.
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Forms

All forms highlighted blue may be downloaded, to order others click here


 
Claim Forms
 
Assurant
American National
Property & Auto Claim - AL230 Property Claim Form
Initial, Cont. & Life Claims - CG401
Initial Disability Claim - UL103-0703
VSI Claim 
Continuing Disability Claim - C2508
 
 
 
 
End Of Month Reporting Forms
 
Report & Remittance - A8290
Life and A&H Remittance
 
Property and Auto Remittance
 
 

Insurance Policies and Certificates

 Life, A&H, and Property - GIPJER(B)
 Life and A&H Policy - CRL-6573-MS(L)
 Life, A&H, Prop. Policy - MSCLCPJER(B)
Property Policy - CIP-33-MS 
 Life, A&H, Prop. Policy - MSCLCP(4)(V)
 Single Interest Auto Policy
 Life, A&H, Prop. Policy - MSCLCP(2)(V)
 
 Property Policy - MSCRT(B)
Southern Pioneer Insurance - LVD 
 Life and A&H Policy - AE2862CBH(1)
 
 Single Interest Auto Policy - 1243
 
 
 
Loan Forms and Installment Contracts
 
 Disclosure Statement - 1747-B and Insurance Notice (short form) - 1747-A
Disclosure Statement Promissory Note and Security Agreement - 1413 
Retail Installment Contract and Security Agreement - 1746 
 Retail Installment Contract - 2023
 
Other Forms 
 
 Arbitration Agreements - MSLMSC-10/00
 Privacy Policies
 Extra Disclosure - Credit Insurance Notice - SD-10/00
 

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