Insuring Your Mission

Placing Quoted Business

insurance applicationsWe look forward to working with you!

Before placing your first piece of business in any of our programs, you must submit a New Broker Packet. Below are the applications and forms that your underwriter may request you complete. Some states also require a carrier appointment.



Revised Glatfelter Religious Practice applications/supplements are now available for policies effective 1/1/20 and later:
Name Date
Religious Organization Application 08/29/2019
Campground / Retreat Supplemental Application 08/29/2019
Education Supplemental Application 08/29/2019
Religious Organization Management Liability Application 08/29/2019
Special Risk-Missionary Travel Application 08/29/2019
Commercial Foreign Package Application 08/29/2019
 Workers’ Compensation Supplemental Application for Religious Organizations (available in most states) 08/29/2019
If you would like to receive a Glatfelter Religious Practice new business application for policies effective prior to 1/1/20, please call 800.233.1957 extension 7970.