World Wide Staffing Insurance Applications
For the following staffing insurance policies, please use the applications below:
- Professional Liability
- General Liability
- Abusive Acts
- Employee Benefits Liability
- Employment Practices Liability
- Hired and Non-Owned Auto
- Stop Gap Liability
- Crime
Please use the state-appropriate applications below:
- World Wide Staffing Industry Insurance Application.pdf
(For all states including District of Columbia, except for Florida and Maine)
-
- Florida and Maine Staffing Industry Insurance Application.pdf
(For Florida and Maine)
- Florida and Maine Staffing Industry Insurance Application.pdf
Philadelphia Insurance Companies TEMPORARY STAFFING AGENCY APPLICATIONS
- TEMPORARY STAFFING AGENCY New Business Application.pdf
(For all states, including District of Columbia, except for Massachusetts) - TEMPORARY STAFFING AGENCY New Business Application-MA.pdf
- TEMPORARY STAFFING AGENCY Renewal Application.pdf
(For all states, including District of Columbia, except for Massachusetts) - TEMPORARY STAFFING AGENCY Renewal Application-MA.pdf
____________________________________________
For World Wide Security and Privacy Liability (Cyber) insurance, please use the state –appropriate applications below:
For All Other states (except -AK, GA, ND, WA ) use the following application–
For- AK, GA, ND, WA -please contact your state-assigned Account Manager or Underwriter at WW (Pending NY)
For Owned Auto Liability insurance, please use the application below or an ACORD Form Application (accepted by all states):
For Property and Inland Marine insurance, please use the application below or an ACORD Form Application (accepted by all states):
For Direct Hire/Executive Search & Recruitment/Retained Search Liability insurance- please use applications below:
-Professional Liability/Employment Related Practices– (Please use the state-appropriate applications below):
- U-SI-152-C CW 0914 Application.pdf
(For all states including District of Columbia, except for Florida and Maine) - U-SI-152-C MU 0914 Application.pdf
(For Florida and Maine)
-Office Package (GL, EB, Stop Gap, HNOA, Crime)
-Property Insurance
For the following policies, please use an ACORD Form Application (accepted by all states); attach app where indicated, or contact your state–assigned Account Manager or Underwriter at World Wide.
- Umbrella Liability
- Workers’ Compensation
*For Workers’ Compensation policy, in addition to the ACORD Form Application please also use the World Wide Specialty Workers’ Compensation Temporary Staffing Program – Supplemental Application below.
For the following policies, contact your Account Manager at World Wide for Applications.
- D&O Liability
- Fiduciary Liability