Important Instructions

Completing the Application:

Our online applications may be either:

  • printed & completed by hand, or 
  • enter your information directly into the form fields and then print. 

TIP:  When completing the form online, use the "Tab" key to advance to the next enterable field.

Printing Forms:

  1. Select your printer icon from the Acrobat® Reader Tool Bar.
  2. Place a check next to "Print as Image." This will ensure that the page layout remains intact.
  3. Place a check next to "Fit To Page." This will ensure that the entire page prints.

Submitting the Application:

After completing your application, remember to review your information carefully. Signatures are required in ink. While Adobe® Acrobat® Business Tools provides the capability for electronic signatures, Utica National Insurance Group does not accept this format at this time.

To apply for a proposal, please either fax, mail or e-mail your completed and signed application to our local E&O sales representative (see Agent Locator) or send to the address below.

 

Mailing Address:

Errors & Omissions Marketing Department
Utica National Insurance Group
P.O. Box 530
Utica, NY 13503-0530

Fax: (888) 451-3805
E-mail: eo.apps@uticanational.com

Questions should be referred to:

Linda Pridemore - Errors and Omissions Marketing Rep.
Telephone:  (866) 860-1914 ext. 6965
E-mail:  linda.pridemore@uticanational.com

Customer Service:
Telephone:  (866) 860-1914 ext. 6905
E-mail:  tina.desantis@uticanational.com