link to home page
Home
Latest News
Truck Programs
  • Guidelines/Brochure
  • Submission Applications
Public Programs
  • Guidelines/Brochure
  • Submission Applications
Commercial Auto Programs
  • Guidelines/Brochure
  • Submission Applications
Agent Appointment
Access Loss Runs
Submit a Claim
Contact Us
About Us
link to AM Best rating guide

Truck Submission Applications

We offer two options for submitting commercial truck insurance business to RLI Transportation.

  1. Submit your application on-line with our easy-to-use submission system — just click the button below to begin.
    • Enter the application information when prompted and submit it once completed.
    • You can print the completed application for your records.
    • If you need additional information for the application, you can save the application and then retrieve it when you are ready to complete it.
    • Additional required information, such as MVRs, can easily be uploaded.

    Submit Application

  2. Submit your application manually using the steps below.
    1. Choose the appropriate form from the list below.
    2. Complete the form electronically and save to your computer.
    3. Attach the form to an email and submit to truck.submissions@rlicorp.com or fax to 404-315-5586 or mail to RLI Transportation.

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)

If you need a copy of the Adobe Acrobat Reader, you can get it free of charge from the Adobe site. Get the Adobe Acrobat Reader.

Additional commercial truck information:
Truck Guidelines and Brochure
Truck Classes of Business and Coverages