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World Captive Forum Workers´Compensation & Disability Conference

HOW TO MAKE A SUBMISSION

The product offered by Federal Motor Carrier Risk Retention Group, Inc. is $1,000,000 CSL automobile liability insurance policy.

Federal Motor Carrier Risk Retention Group, Inc. will require the following underwriting information as part of each submission.

  • Truck application

  • Complete list of drivers including, name, and date of birth, state of driver’s license, driver license number, motor vehicle report, and years experience with a CDL.

  • Most recent two years of financial statements (including income statement, balance sheet and income tax return.)

  • The most recent five years of currently valued previous insurer loss runs.

  • Most recent four quarters of fuel tax reports.

  • US DOT number.
19 North Bridge Ave. • Red Bank, NJ 07701 • Phone:  (732) 933-9200 • Fax: (732) 782-0377
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