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American Freedom Ins

1699 Wall St, STE #600 Mount Prospect, IL 60056

Phone: (847) 758 -9300

Fax: (847) 758-9685

 

“…American Freedom Insurance Co has best service!...” – valued Indianapolis producer

“…We like the service at American Freedom Insurance. There are never any issues!...” – valued Lafayette producer

  Below are various files for your convenience (click on the link to download)

 

 

  - ILLINOIS

      ·  Policy Contract - Policies Effective 06/01/2013 - 12/31/2014

 

      ·  Policy Contract - Policies Effective 01/01/2015 and later

 

      ·  Address Change Endorsement -Effective 06/26/2017

 

      ·  Policy Contract Endorsement (ACPIII0115)-Policies Eff. 01/01/2015 and later

 

      ·  Agent Commission ACH Form

 

      ·  Comparative Rater Bridge - ITC

      ·  Direct Bill Sweep Account Form

      ·  Driver Exclusion Form

      ·  EFT Authorization Form

      ·  Endorsement Request Form

      ·  Meadco ScriptX (printing driver)

      ·  Medical Health Statement   

      ·  Non Business Use Form

      ·  Vehicle Inspection Form

        

  - INDIANA

      ·  Policy Contract - Policies  Effective 12/09/2009 and later

 

      ·  Notice to Policy Holders -Effective 08/15/2017

 

      ·  Address Change Endorsement -Effective 06/26/2017

 

     ·  Policy Contract Endorsement  - Policies  Effective 05/23/2016 and later

 

      ·  Agent Commission ACH Form

             

     ·  Comparative Rater Bridge - ITC

 

      ·  Direct Bill Sweep Account Form

      ·  Driver Exclusion Form

      ·  EFT Authorization Form

      ·  Endorsement Request Form

 

      ·  Meadco ScriptX (printing driver)

      ·  Medical Health Statement

      ·  Non Business Use Form

      ·  Vehicle Inspection Form

 

  - PENNSYLVANIA

      ·  Agent Commission ACH Form

 

      ·  Direct Bill Sweep Account Form

      ·  EFT Authorization Form

      ·  Endorsement Request Form

      ·  LexisNexis Agent Application for Service

      ·  Meadco ScriptX (printing driver)

      ·  Medical Health Statement

      ·  Vehicle Inspection Form

  - TENNESSEE

      ·  Policy Contract

 

      ·  Agent Commission ACH Form

      ·  Comparative Rater Bridge - ITC

 

      ·  Direct Bill Sweep Account Form

      ·  Driver Exclusion Form

      ·  Named Driver Only Form

 

      ·  EFT Authorization Form

     

      ·  Endorsement Request Form

      ·  Meadco ScriptX (printing driver)

      ·  Medical Health Statement 

      ·  Non Business Use Form

 

      ·  Vehicle Inspection Form

 

 

CLICK HERE FOR REMOTE SUPPORT

 

American Freedom PTS