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Senior centers

Select an application below. Adobe Acrobat Reader must be integrated with your web browser to enable you to complete our applications and forms online.

Should you have difficulty printing or opening our forms online, please save the form to your desktop (select "Save As" or "Save Link As" by right clicking on the hyperlink to the desired form) and then open and complete the form locally using Adobe Acrobat.

Contact us should you have any issues and need a hard copy emailed, faxed or mailed to you.

Insurance agents
You must be an appointed agent with Markel to submit an application. For more information about how to become appointed with Markel, click here. If you are a direct customer, and do not have an insurance agent, we can provide you with the names of several who handle social service related insurance.

Please complete one of the following program applications in addition to an Acord application:
Human services
Senior activity centers

Supplemental applications (in addition to the program application above)

Accident medical
Employment practices liability (EPL)
Not for profit management liability application - New business
Not for profit management liability application - Renewal business
Special events

Return completed applications to:

Email: mscsubmissions@markelcorp.com
Fax: 804-527-7966