Administrative and Special Forms

EIB requires additional forms to be completed at times. Various additional administrative forms include the following:

• Additional Insured/Certificate Request Form
• Changes to Driver and Vehicle Schedules
• Claims History Summary & Information Supplement
• Claims Warranty and Coverage Statement
• MMA Adding an Event Request Form
• Other Insurance Supplement
• Payment Form
• Representations and Warranties

All forms listed on this site have been prepared by EIB for the exclusive use by producers and policyholders of EIB and its affiliates. These forms are provided as a general reference guide only, and they may vary from policy forms actually issued. These sample forms do not constitute or replace the actual policy forms issued to any policy holder; accordingly, we strongly recommend that you consult with your legal counsel upon receiving any insurance forms or policies from EIB or any insurance company.