City Underwriting Agency, Inc. Protecting your Business, Family and Future  Since 1930

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City Underwriting Agency, Inc.

Need Acrobat? Click here

Don't wait for necessary forms and applications to be faxed or mailed to you; you can obtain them instantly, simply by choosing the department below and downloading them!

You will need Adobe Acrobat to view these forms. Once your forms are completed you can e-mail* them to or fax them to 516-358-3540.

Claims Forms
Commercial Forms
Personal Lines Forms
Surety Forms
Group Benefits Forms

*Our Adobe Acrobat forms have been programmed for you to fill out from your computer once you have downloaded them. To e-mail your completed form, you must click on File, then Print. Select Acrobat Distiller from your printers list. Name it and click save. A saved copy of the form should now appear. Click on File, Send Mail. An e-mail window will appear with your form as an attachment. Simply address it to and click send.

Claims Forms
After downloading and completing any of the forms below, please mail, fax or e-mail your form to the attention of our claims department. Commercial Forms
Following are some common forms we frequently mail out to insured's as required to process certain transactions. Personal Lines Forms
Surety Bond Forms
Why wait for applications and forms to get your next bond request rolling? See the links below to download new, blank copies of all the necessary forms you regularly use to process bond requests.

Group Benefits Forms
Your carrier's web site is the best resource for most of your requests and changes. Download forms, search for a specialist, or simply inquire about your covered benefits. Check your ID card for your carrier's web address.

City Underwriting Agency, Inc.
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City Underwriting Agency, Inc.  |  2001 Marcus Avenue, Suite W180  |  Lake Success, NY 11042
Phone: 516-358-3500  | Toll Free: 800-762-1784  |  Fax: 516-358-3540  |  Email:

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