McKinley-Sausser-Mello Insurance Agency, Inc.

"Dedicated to
Service, Quality
and You"

Physical Address:
1000 W. Center Street in
Manteca, CA 95337

Mailing Address:
P.O. BOX 751 in
Manteca, CA  95336

LIC: 0800877

PH (209) 823-6886
FX (209) 823-0872

McKinley-Sausser-Mello Insurance Agency, Inc.

Forms

Attached you find some commonly used forms.  Please print, complete and fax or email the form to our office for processing.

Email: kim@msmins.com

Fax: (209) 823-0872

Request for Certificate of Insurance
 

D-1 Form
 

Worker’s Compensation SUPPLEMENTAL Application
 

ALLIED INSURANCE Driver Exclusion Form
 

UNITRIN Driver Exclusion Form

 

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