Americas Leading Insurer of Emergency Organizations

Placing Quoted Business

Insurance applications for fire departments, ambulance and rescue squads and 911 centersWe look forward to working with you!

Find applications and forms below that your underwriter may request you complete in order to obtain the most competitive terms for your clients. Return completed applications to your Regional Director or

Glatfelter Insurance Group will be making a transition to electronic delivery of all policies, endorsements and invoices for all business placed with GHP, GPP and Non-Regional Director VFIS. Any accounts written through GSB, GRP, New York Safety Groups 491, 497 or 90 and VFIS Regional Director states will NOT be available electronically.

Contact Client Services at: with questions or to update your agency’s contacts.

VFIS Applications

Benefits Applications

Click on the resource below to access it. Last Updated
Critical Illness Request for Proposal 08/04/2016
Group Term Application 07/08/2016
LOSAP Defined Benefit Application 06/03/2016
LOSAP Defined Contribution Application 05/05/2016
Special Risk Application 04/05/2016
Beneficiary Designation Form 09/22/2016