If you would like to receive a quotation to join the Risk Pooling Trust and obtain coverages, please print, complete, and submit any of these application forms to:

Michael Vollmer or Donna Bertino
Christian Brothers Risk Management Services
1205 Windham Parkway
Romeoville, IL 60446
Fax: 630.378.2508

If you need assistance in completing these forms,
please call Michael Vollmer at 1.800.807.0100 ext. 3024, or Donna Bertino at 1.800.807.0100 ext. 2529.

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	General Property/Casualty Coverage (48 KB) Use this application to request a quote to obtain protection for buildings, contents, automobiles and general liability.
	General Property/Casualty Coverage, Word Document (.99 MB)
	Workers' Compensation Coverage (36 KB) Use this application to request a quote to obtain protection for compensating employees who become injured or ill as a result of their employment.
	Worker's Compensation Coverage, Word Document (200 KB)
	Limited Professional Health Care Services Application (33 KB) Use this application to request a quote to obtain protection against liability claims arising from licensed practitioners who deliver medical services.
	Limited Professional Health Care Services Application, Word Document (204 KB)
	Excess Directors and Officers Coverage (83 KB) Use this application to request a quote to obtain protection against liability claims filed against your organization as a result of the actions of Corporate Directors and Officers.
	Excess Directors and Officers Coverage, Word Document (957 KB)
	Automobile Schedule (9 KB)
	Property Value Schedule (6 KB)
	Open to the Public Nursing Home Care Application (57 KB)
	Open to the Public Nursing Home Care Application, Word Document (723 KB)