At JWF Specialty, we do all we can to make working with us simple and convenient. Looking for an application? Need a claims form? Find our most frequently requested ones here. Don’t see what you’re looking for?
Contact us.
State of Indiana Disability Applications
- State of Indiana Employee’s Disability Application – Must be completed and signed electronically.
- Attending Physician Statement – Must be printed and completed by your physician.
Claims Forms
Public Entity Applications
- Law Enforcement Liability Application
- Public Officials Errors and Omissions Liability Application
- Employment Practices Liability Application
- Package Lines Application
General Liability Supplement Applications
- General Liability Exposures
- Arena/Convention Center
- Blasting Operations
- Cemetery
- Chemical Spraying
- Dam/Levee/Dike
- Daycare/Day Camps
- Electric-Utility
- FireDept./EMT/Paramedic
- Fireworks
- Gas Utility
- Housing Authority
- Landfill/Refuse/Dump
- Recreational Activities
- Sewer Utility
- Skatepark
- Special Events
- Streets/Roads/Bridges
- Water Activities
- Watercraft/Boats
- Water Utility