Truck Submission Applications

To submit commercial truck insurance business to RLI Transportation, choose the appropriate form from the list below.

PLEASE NOTE: Each of the forms below can be completed electronically in three easy steps.

1. Save the form to your computer
2. Complete the form
3. Attach it to an email sent to the address below.

Submit all trucking insurance applications to truck.submissions@rlicorp.com.

Large Fleet Truck Application (20+ units) (PDF, 1mb)
Small Fleet Truck Application (6-19 units) (PDF, 685kb)
Non Fleet Truck Application (1-5 units) (PDF, 163kb)
Owner/Operator Individual Application (1-10 units) (PDF, 369kb)
Owner/Operator Program Application (11+ units) (PDF, 370kb)
Small Fleet General Liability Application (PDF, 281kb)
Small Fleet Mileage Supplement (PDF, 331kb)
Occupational Accident Applications:
  All states except AR, DE, KY, OH, OK (PDF, 901kb)
  AR, DE, OK (PDF, 234kb)
  KY (PDF, 702kb)
  OH (PDF, 715kb)

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