The Proper Insurance Forms for Your Needs


For more than 52 years, Connell & Curley Insurance Agency, Inc. of Natick has been helping residents of Massachusetts find optimal insurance policies to suit their needs. From filing claims to properly filling out the appropriate forms, we have always been there with the expertise and guidance our clients need to expedite the process and get the outcome they seek.

On this page we have provided some common insurance forms available for your convenience:

Annual Mileage Discount Form

The Annual Mileage Discount Form may help save you money on your auto insurance policy. Have information such as the year/make of your car, vehicle ID number, and current odometer reading ready-to-go.

Crash Operator Report

You should file a Crash Operator Report if you're the operator of a vehicle involved in a crash where the damage is over $1,000, or if there is an injury to any person. File this within 5 days of the date of the crash.

Operator Exclusion Form

To save on premiums, some people choose to fill out an Operator Exclusion Form. The person you list in this document will not operate your vehicle.

The EFT Authorization Form

The EFT Authorization Form allows customers to make easy monthly premium payments. Have your payments deducted from your checking or savings account. We'll mail you statements in advance showing you your deduction schedule.

The Personal Umbrella Insurance Application

Personal Umbrella Insurance help covers you and your family in a situation where your regular plan doesn't provide enough coverage. Contact us to learn more about this policy and click below to fill out the Personal Umbrella Insurance Application.

For more information on the potential forms you may need for your insurance needs, or to speak to our representatives to schedule your personalized meeting, please call the Connell & Curley Insurance Agency at 508-470-0053.