Shreveport Forms

General Underwriting Email

Tracking - la-tracking@deep-south.com

• Send all new submissions
• Request current loss runs and certificates of insurance

Processing - la-processing@deep-south.com

• Send all signed forms
• Make endorsement requests
• Inquire about status of policy and endorsement issuance
• Request the addition or deletion of drivers

Renewal - la-renewal@deep-south.com

• Send all renewal applications and additional information

Underwriting Forms

The following Underwriting forms are available to download. These forms are created in Adobe Portable Document Format (PDF) . If you do not have Adobe Reader, click the link below to download a free version of the software.

Automobile/Garage General  Van Questionnaire Designated Professional Service Exclusion  Garage Drivers List Garage Dealer Supplemental Hired and Non-Owned Supplemental Driver Exclusion Driver Exclusion-Texas Physicians Statement General Liability Supplementals Artisan Supplement OCP Supplement  Pool Supplement Contractors Supplement QBE Specialty Insurance Company  Non-Specified Operators Endt Uninsured/Underinsured Motorist Selection Mississippi UM Selection/Rejection (ACORD 137)  Mississippi Non-Stacking Uninsured Motorist (ACORD 61)  Praetorian/Redland Insurance Company Non-Specified Operators Endorsement Louisiana Uninsured/Underinsured Motorist Form Mississippi UM Selection/Rejection (ACORD 137)  Mississippi Non-Stacking Uninsured Motorist (ACORD 61)  Consent to Rate - Louisiana Consent to Rate - Mississippi Texas - UM PIP Rejection Form - Praetorian Texas - UM PIP Rejection Form  - Redland Other Underwriting Forms Mississippi Affidavit Terrorism Disclosure

Is there an account we can write for you?

To learn more about Deep South, contact us at (800) 235-3891.

---

333 Texas Street, Suite 725

Shreveport, Louisiana 71101

 

P.O. Box 202

Shreveport, Louisiana 71162

800-235-3891

800-686-6128 fax

318-227-3636

318-934-1874 fax