We've provided these application forms for you to download at your convenience. Since we are a paperless environment, we prefer that you email your complete submissions (refer to the checklist at the left) to firstname.lastname@example.org.
Please contact your underwriting team with questions about an application.
At this time we can only accept submissions from brokers with established relationships with Vela. If you are new to Vela, please call (877) VELA-INS or email BrokerInfo@vela-ins.com to find out how we can help you.
|Advertiser and Public Relations Consultant Supplemental|
|Claims Adjuster Supplemental|
|Collection Agencies Supplemental|
|Computer and Electronic Data Processing Supplemental|
|Computer Network Security Privacy Coverage Section Information|
|Data Compromise Increased Limits 250k|
|Data Compromise Increased Limits 500k and up|
|Freight Forwarders and Customs Brokers|
|General Liability Supplemental|
|Mortgage Bankers Supplemental|
|Mortgage Brokers Supplemental|
|Professional Employment Organizations Supplemental Application|
|Professional Liability Application|
|Professional Liability Claim Supplemental|
|Professional Liability Renewal Application|
|Property Managers Supplemental|
|Staffing Services Application|
|Tax Preparer and Bookkeeper Supplemental|
|Technology Professional Liability Application|
|Technology Professional Liability Renewal Application|
|Third Party Administrator Supplemental|
|Travel Agent Supplemental|
Products and services described above
are provided through various surplus lines insurance company
subsidiaries of W. R. Berkley Corporation and offered through licensed
surplus lines brokers. Not all products and services may be available in
all jurisdictions, and the coverage provided by an insurer is subject
to the actual terms and conditions of the policies issued. Surplus lines
insurance carriers do not generally participate in state guaranty funds
and insureds are therefore not protected by such funds. This material
does not amend, or otherwise affect, the provisions or coverages of any
insurance policy issued. It is not a representation that coverage does
or does not exist for any particular claim or loss under any such
policy. Coverage depends on the facts and circumstances involved in the
claim or loss, all applicable policy provisions and any applicable law.
Availability of coverage referenced in this document can depend on
underwriting qualifications and state regulations.
Vela Insurance Services conducts business as Vela Insurance Services, LLC in California as a licensed surplus lines broker
(License Number 0C94218).