MENU RISK MANAGEMENT FORMS Careful risk management is essential to protect any insured’s interest. Prime needs several forms to be completed to bind coverage and other forms are available for reference. Sample Release Form Sample Rental Agreement All forms listed on this site have been prepared by Prime for the exclusive use by producers and policyholders of Prime and its affiliates. These forms are provided as a general reference guide only, and they may vary from policy forms actually issued. These sample forms do not constitute or replace the actual policy forms issued to any policyholder; accordingly, we strongly recommend that you consult with your legal counsel upon receiving any insurance forms or policies from Prime. BECOME A PRODUCER In order to write business with Prime, all producers must enter into a producer agreement outlining the terms of the relationship between the parties. To receive an application, fill out the producer agreement and we will have someone from our Producer Services Department contact you as soon as possible. If you have any questions, contact producerservices@primeis.com or call 800.421.8328. Please note, you do not need to sign a producer agreement in order to get a free quote; you may contact quotes@primeis.com or call 800.257.5590. 800.257.5590 info@primeis.com PRIME INSURANCE COMPANY WRITES IN ALL 50 STATES OF THE USA FOR PRODUCERS Get a Quote Application Forms Producer Agreement Risk Management Prime Services Claims FOR INSUREDS Login File a Claim ABOUT Prime Companies Prime Leadership Careers Reinsurance Partners Testimonials Frequently Asked Questions Litigation History Contact Us Sitemap DOWNLOAD OUR APP * For latest ratings, visit www.ambest.com © 2021 Prime Holdings Insurance Services, Inc., all rights reserved | Privacy Policy | Legal Disclaimers Prime Insurance Company (“PIC”) is an unlicensed excess and surplus lines insurance company domiciled in the State of Illinois and its principal place of business is in Sandy, Utah. Full disclaimer at www.primeis.com/legal. This communication does not contain any assertion, representation, or statement with respect to the business of insurance or with respect to any person in the conduct of his or her insurance business, that is untrue, deceptive, or misleading, and that is known, or that by the exercise of reasonable care should be known, to be untrue, deceptive, or misleading. Statements made regarding insurance coverage are for general description purposes only and they do not amend, modify, supplement, or alter any insurance policy in any way, including but not limited to claims purposes, nor do they provide details regarding terms, conditions, coverage, exclusions, or services of any insurance policy. Policy eligibility is subject to underwriting qualifications and approval. Contact PRIME INSURANCE COMPANY for more information. All information, content, and materials available on this site are for general informational purposes only. This information does not, and is not intended to, constitute legal advice on any particular set of facts or circumstances, and may not constitute the most current legal developments. No user or browser of this site should act or refrain from acting based on the contents of this site without first seeking legal advice from counsel in the appropriate jurisdiction. This website may also contain links to content from third-party web sites which are intended only as a convenience for the user or browser and are not necessarily recommended or endorsed by Prime Holdings Insurance Services, Inc. and its affiliates. All liability with respect to actions taken or not taken based on the contents of this site are hereby expressly disclaimed. The content on this website is provided "as is" and no representations are made that the content is free of errors. By submitting an application through this site, you acknowledge that certain personal data disclosed as part of the application process is necessary for purposes of evaluating and issuing insurance products to you by the insurer and its affiliates and you hereby consent to the insurer and its insurance affiliates processing such information. You understand that the insurer may share the information disclosed as part of the application process for purposes of evaluating and issuing insurance products and risk management services (including to the producer listed on the application), but that the insurer will not disclose your personal information to unaffiliated advertisers or vendors. You acknowledge that you have the right to withdraw your consent to the insurer's use of your personal data that is deemed by the insurer to be unnecessary for the purposes stated above by notifying us in writing.