Forms
- Business Automobile Liability. Please contact our agency for the appropriate form.
- Certificate of Insurance Request Form or you may submit through the website using this link: https://patriot-insurance.com/certificate-of-insurance-request-instructions/
- Community Service Insurance Application to include Pregnancy Resource Centers
- Credit Card Authorization Form
- Cyber Liability Insurance Application
- Directors and Officers Insurance Application
- Medical Malpractice Insurance Application and Brochure
- Mobile Medical Unit Insurance Application. Please contact our agency for the appropriate form.
- Property Insurance Application
- Social Service Insurance Application
- Special Event Insurance Application. Please contact our agency for the appropriate form.
- Volunteer Accident Insurance Application. Please contact our agency for the appropriate form.
- Workers Compensation Insurance Application
Not sure which application to complete? We would recommend completing our basic New Business Insurance Questionnaire. This completed form may be submitted via email to us at wecare@patriot-insurance.com, or fax at (520) 842-2978 or you may even mail to our P.O. Box 1298, Sonoita, AZ 85637-1298. Once received, an underwriter will contact you directly to go over our recommendations and processes for coverages.
If you have any questions, please call our offices at (800)859-2724.