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VIP Forms

The following forms are available in PDF Interactive Format – they can be filled out online (Requires the use of free Adobe Reader, version 6 or greater) and printed in order to fax or mail it to us. Or you can just print it and fill it out by hand before faxing or mailing to us. (See below for Tips for Completing Online PDF Forms)

1. Application

  1. VIP Application (Request for a Quote)

  2. Member Agreement (PDF)

  3. Risk Management Standards (PDF)

2. Claims Info & Forms

  1. Claims Reporting Procedures

  2. Occurrence Report (Accident/Incident)

  3. List of Regional Offices for Bragg & Associates

3. Certificate of Insurance Request Form

  1. Certificate of Insurance Request

4. Change in Vehicle/Driver Informations

  1. Vehicles (Add/Delete/Change)

  2. Drivers (Add/Delete)

5. Driver Appeal Forms

  1. Driver Appeal

  2. Driver Appeal (Under 21 exemption)

Note: If you have any trouble with the Interactive forms or notice any problems, please let Bill Brashears know.
Your input and comments would be appreciated.

Tips for Completing Online PDF Forms:

  • Hit the tab key to move to the first field.
  • Use the tab key to move from one field to the next and set the field data for printing. This includes the last field on any page.
  • Holding down the shift key while hitting the tab key will reverse direction of tab.
  • For drop-down fields, use the keyboard down arrow to scroll through the list. Once the desired item is selected, hit the tab key. The field will be filled with the selected item and tab to the next field.
  • To check a check box, tab into the field and hit the space bar. This will fill in the check box with the check mark and tab to the next field. To bypass one, just tab past it.
  • To scroll through multiple page documents, use the scroll bar at the right of the document, OR use the page arrows and/or navigational arrows on the menu bar.
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