Customer Verification Form
The following Customer Verification Forms are required by law and must be completed by individuals seeking insurance. These forms must be submitted with your insurance proposal.
Please note:
Proposal Forms
Download your desired form, fill it out, and submit it below, or e-mail it to anjo_ins@candw.ag.
One of our representatives will then contact you to assist you with all your insurance needs.
We recommend you use “Adobe Acrobat” to complete the Forms. Download Adobe Acrobat Here
Submit form online
- All Risks Insurance
- Burglary Insurance - Business Premises
- Contract Works Insurance
- Employer's Liability Insurance
- Golfer's Insurance
- Goods in Transit (Marine Transit) Insurance
- Homeowner's Insurance
- Machinery and Equipment Insurance
- Material Damage Insurance
- Motor Vehicle Insurance
- Public and Products Liability Insurance
- Public Liability One Off Events Insurance
- Travel Insurance
- Yacht & Pleasure Craft Insurance
Call For More Info
1-268-480-3050