The following is a listing of supplemental applications/questionnaires that may be required when applying for insurance protection, along with the Member Agreement. The SSCIP questionnaires are in addition to the standard Insurance Service Office (ISO) ACORD application. Click to download.

Applications
	Assisted Living Supplement
	Auto - Comprehensive Automobile Coverage Supplement
	Auto - Hired/Nonowned Coverage Questionnaire
	Camp Questionnaire
	Day Care/Treatment Center Questionnaire
	Directors and Officers Liability Insurance Application
	Foster Care/Adoption Questionnaire
	Human Services Program Questionnaire
	Licensed Residential Facility Questionnaire
	Non-Licensed Residential and/or Supported Living Questionnaire
	Prior Acts Application & Statement
	Professional - Counselors/Social Workers Professional Liability Application
	Professional - Supplement for Listing More Than 5 Staff
	Recreation/Community Center Questionnaire
	Sex Abuse - Claims-Made Sexual/Physical Abuse Coverage Application
	Sheltered Workshop Questionnaire
	Special Events/Fund Raising Questionnaire
	Swimming Pool Supplement
	Member Agreement
	Broker Agreement
	Driver Standards
	General Liability Broadening Endorsement
	Privacy Release
	Professional Liability - Claims Made Coverage Form replaced by SSPLC
	Sexual Abuse - Claims Made Coverage Form replaced by SSSAC
	SSCIP PAK
	W-9 Request for Taxpayer Identification Number and Certification

Resources

Videos, written material and compact disks on various subjects are available for loan on the following subjects:

Safety/Risk Management Progressive Discipline Procedures Playground Safety Substance Abuse

Driver Training Harassment Policies & Procedures Grievance Procedures Employment

Volunteers Managing Workplace Violence Youth Activities Ergonomics

Contact Southwest Risk Services (SWRS) Loss Control Unit for more information about the above resources.