Download Applications


Lemac Environmental Insurance forms are offered in Adobe (PDF) and Microsoft Word formats. To view and print the PDF documents you must have the Adobe Acrobat Reader installed on your computer. To download the free Adobe Acrobat reader click here. These PDF forms must be printed, then filled out by hand or on a typewriter and signed.  The Word forms may be filled out online, then printed and signed.

 

Environmental Services
Application for Contractors
and Consultants
Environmental Insurance Services - Liability Insurance Wholesaler
Pollution Liability Application
Storage Tank & Third Party Liability Application


Lemac & Associates
A Division of Risk Placement Services, Inc.
Environmental Insurance Division

License #0C66724

701 S. Parker Street, Suite 6200
Orange, CA 92868
Phone: 888-712-5366 or 714-712-6307
Fax: 714-712-7362

Email: ga@lemacassociates.com