Included below is a link to the Accident Insurance online application as well as a printable PDF version. For additional information regarding this particular coverage you can review the brochure titled Accident Coverage Description.
You can submit the application in one of three ways:
Complete the application on-line and click Submit.
Print and complete the PDF version of the application and mail to: The Allen J. Flood Companies 4614 Main Street, Suite 2 Lisle, IL 60532 Attn: William Flinker
Print and complete the PDF version of the application and fax to: (914) 922-9282 (Attn: William Flinker)
If you have any questions regarding this process please contact:
William Flinker – Allen J. Flood (800) 734-9326 ext. 248 wflinker@ajfusa.com
