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Property-Casualty Forms

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If a school district has a need, chances are that PSBA has a service, expert or program to meet that need.

Forms are PDF format

to print or fax, unless otherwise indicated.

Cyber Liability

New Business Application

Excess Liability

Property Casualty

School Leaders Legal Liability Coverage
through School Boards Insurance Co. of Pa.
(AM Best rated A-Excellent)

July 1, 2010 (to be used for business with an
effective date July 1, 2010, or AFTER)
July 1, 2009 (to be used for business with an effective date PRIOR to July 1, 2010)
Request School Leaders Legal Liability Loss Runs

Student/Athlete Accident Insurance

Terrorism Risk Insurance

Policyholder Disclosure Notice of Terrorism Insurance Coverage

Workers' Compensation

2009-10 Workers' Compensation Application (to be used for business with an effective date PRIOR to July 1, 2010)
2010-11 Workers' Compensation Application (to be used for business with an effective date ON OR AFTER July 1, 2010)
Acord Application
Request Workers' Compensation Loss Runs
Request Safety & Loss Control Services
Submit Claim Online

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