Back to product list
You must be an appointed agent with Markel to submit an application.
For more information about appointments, click here.
You'll need Adobe Acrobat to view these documents.
In addition to an ACORD application, please complete the appropriate applications:
Hospital Fleet Complete Application
Email your completed applications to firstname.lastname@example.org or fax to 678-290-2200.
In addition to the application(s), we need the following:
- Acord Forms (125 & 127 at minimal)
- 3-5 years of currently valued hard copy carrier loss runs
- Driver schedule to include full driver name, driver's license number, driver's license state, date of birth, and date of hire
- Include MVRs, if available
- Vehicle schedule to include: year, make, ambulance manufacturer, type (I, II, or III), original cost new, current value, and lienholder information (for example - 2003 Ford AEV, Type II OCN, $72,000/ACV, $28,000, no lien). For all other vehicles, list as normal.
Medical Transportation Brochure
Click here to view the Medical Transportation product sheet.
Cheryl Hahn, Underwriting Manager
Dan Young, Underwriter