APPLICATION and Claim Forms

Please send applications to applications@suttonspecialrisk.com.

Please send claim forms to claims@suttonspecialrisk.com.

AD&D/Personal Accident Insurance

Application Forms

Personal Accident New Business Application

Personal Accident Renewal Application

Personal Accident & Sickness Renewal Application

Personal Accident & Sickness Declaration

Claim Forms

Proof of Death

Proof of Dismemberment

Proof of Death - Physician

Proof of Dismemberment - Physician

Disability Insurance

Application Forms

Personal Accident - New Business Application

Personal Accident & Sickness - New Business Application

Medical Examiner's Report

Claim Forms

Sutton Temporary Disability - Physician's Statement

Sutton Temporary Disability - Physician’s Statement - French

Sutton Temporary Disability - Employee Statement

Sutton Temporary Disability - Employee Statement - French

Sutton Temporary Disability - Employer Statement

Sutton Temporary Total Disability - Employer Statement - French

Professional Sports Disability Insurance

Application Forms

Professional Sports Application

Professional Sports Health Declaration Form

Concussion Questionnaire - Player

Concussion Questionnaire - Physician

Professional Sports Exclusion Review Form

Claim Forms

Proof of Permanent Total Disability

Major Medical Insurance

Application Forms

New Business Application

New Business Application - French

Renewal Application

Renewal Application - French

Short Term Medical Declaration

Claim Forms

Medical Expense Form - English

Medical Expense Form - French

Medical Expense Form - Spanish

Dental Claim Form - English

Dental Claim Form - French

Dental Claim Form - Spanish

War Risk and Terrorism

Application Forms

War Risk Only Application

Kidnap Ransom & Extortion Insurance

Application Forms

Corporate Application

Individual Application

School Application

Contingency Insurance

Application Forms

Event Cancellation (including appendix for outdoor events and non-appearance)

Cancellation of Conferences or Exhibitions

Death, Disgrace, Disablement

Golf Hole-In-One Prize Indemnity

Transmission Failure

Other

Application Forms

Declaration of Health

Fasting Full Blood Profile Components

Diabetic Questionnaire

Neck and Back Pain Questionnaire

Pilot History Questionnaire

Declaration for Voice-Related Occupations

Diving Questionnaire

Mountain Climbing

Motorcycle Racing

Freestyle Motorcross Questionnaire