Lighthouse Underwriters, LLC

SpecialApplications

Preferred Insurance Partner for the Staffing Industry

Special Applications

The following applications are available to download:

Staffing Applications
	StaffPak Application
	EPLI Application
	Medical Staffing Application
	London Staffing Application

Endorsement Processing Forms The forms below should be used for existing customers who are making a policy change request. Using the attached forms will allow us to process your requests more efficiently and more accurately which will help our mutual customer, the insured.
	Request to Add A Loss Payee
	Request for Location Information
	Request for New Name or Name Change
	Request for Umbrella Underlying Information
	Request for Auto Information
	Request For Waiver
	Request to Add a Named Insured

If you do not have Adobe Acrobat you can download it here.