PRODUCERS ENTER HERE CONSUMER MAKE A PAYMENT REPORT A CLAIM DOWNLOAD FORMS ABOUT US CAREERS CONTACT DOWNLOAD FORMS ILLINOIS Policy Contract– Policies Effective 07/15/2021 and later Policy Contract– Policies Effective 01/01/2015 – 07/15/2021 Policy Contract Endorsement (RESDR 11/17)-Policies Eff. 12/15/2017 and later Address Change Endorsement -Effective 06/26/2017 – 07/15/2021 Policy Contract Endorsement (ACPIII0721)-Policies Eff. 07/15/2021 and later Policy Contract Endorsement (ACPIII0115)-Policies Eff. 01/01/2015 – 07/15/2021 Policy Contract – Policies Effective 06/01/2013 – 12/31/2014 Agent Commission ACH Form Comparative Rater Bridge – ITC ITC Integration Bridge Direct Bill Sweep Account Form Driver Exclusion Form EFT Authorization Form Endorsement Request Form Medical Health Statement Non Business Use Form Vehicle Inspection Form INDIANA Policy Contract – Policies Effective 11/15/2017 and later Policy Contract Endorsement – (INEND0618)-Policies Eff. 06/03/2018 and later Policy Contract Endorsement – (INEND0719)-Policies Eff. 09/15/2019 and later Policy Contract – Policies Effective 12/09/2009 to 11/14/2017 Notice to Policy Holders -Effective 08/15/2017 to 11/14/2017 Address Change Endorsement -Effective 06/26/2017 to 11/14/2017 Policy Contract Endorsement – Policies Effective 05/23/2016 to 11/14/2017 Agent Commission ACH Form Comparative Rater Bridge – ITC ITC Integration Bridge Direct Bill Sweep Account Form Driver Exclusion Form EFT Authorization Form Endorsement Request Form Medical Health Statement Non Business Use Form Vehicle Inspection Form PENNSYLVANIA Policy Contract – Policies Effective 2/1/2018 and later Policy Contract – Policies Effective 5/14/2010 to 1/31/2018 Address Change Endorsement -Effective 6/26/2017 to 3/31/2019 Agent Commission ACH Form Direct Bill Sweep Account Form EFT Authorization Form Named Driver Only Endorsement Form Named Driver Only Endorsement – Effective 2/1/2018 and later Named Driver Only Endorsement – Effective 5/14/2010 to 1/31/2018 Endorsement Request Form LexisNexis Agent Application for Service Medical Health Statement Vehicle Inspection Form TENNESSEE Policy Contract – Policies Effective 07/01/2017 and later Agent Commission ACH Form Comparative Rater Bridge – ITC ITC Integration Bridge Direct Bill Sweep Account Form Driver Exclusion Form Named Driver Only Form Named Driver Only Endorsement EFT Authorization Form Endorsement Request Form Medical Health Statement Non Business Use Form Vehicle Inspection Form Producers Enter Here Make a Payment Español Careers Proud Supporter Find a Broker Privacy Policy American Freedom Insurance Company 1699 Wall St, Suite #600 Mount Prospect, IL 60056 Phone : (847) 758-9300 | Fax : (847) 758-9685 info@americanfreedomins.com Copyright ©2018, American Freedom Insurance Company | Privacy Policy