Applications & Supplements
CENTREX Online Applications
We have made the application process as simple as possible by providing the ability to complete forms electronically.
The steps include:
Select the desired application
Enter all required information online
Save and/or print the completed application
Email to firstname.lastname@example.org
CLICK HERE for the Centrex Liquor/General Liability Application
Use for all risks other than retail stores and special events. The submission must include a separate Centrex Application for each location to be insured. For example, if the risk is a 10-location restaurant chain, a separate Centrex Liquor/General Liability Application is required for each location.
CLICK HERE for the Centrex Retail Store Liquor/General Liability Application
Use for Retail Store with no on-premises consumption, such as convenience stores, grocery stores, liquor stores and similar stores with take-out sales of alcohol only. For multi-location store risks, only one Centrex Retail Store Liquor/General Liability Application is required along with a Centrex Multi-Location Supplement.
CLICK HERE for the Centrex Short Form Liquor/General Liability Renewal Application
Use for renewal Liquor & GL policies for all classes of business other than Special Events. For risks with more than one location (other than Special events or Multi-location Retail Stores) a separate Short Form Renewal Application is needed for each location. For Multi-Location Retail Stores, one Short Form Renewal Application is required with an attached Multi-Location supplement.
CLICK HERE for the Centrex Multi-Location Supplement
Use in conjunction with one Centrex Liquor/General Liability Application for insureds with multi-locations and with no on-premises consumption.
CLICK HERE for the Centrex Hall Rental/Caterers Supplement
Use in conjunction with one Centrex Liquor/General Liability Application for all submissions on risks, other than restaurants, that have catering and/or hall rental operations (i.e., caterers, banquet halls, clubs with hall rental operations, etc.).
CLICK HERE for the Centrex Special Event Liquor Liability Application
Use for special events, such as church festivals, community festivals, arts and craft shows, fund raisers, etc.
NOTE: Please provide a quote-by date or an effective date on your application or email so we can correctly prioritize your submission.