The application for coverage forms below require that every question be answered and that all information requested be provided. You may choose from the following forms below depending on whether you are applying for new coverage or renewing your coverage under each area. IN ADDITION, please complete and submit any of the following additional forms as required by your application for each area.

If you would like further assistance or have a question, please contact a TAC representative.

Phone: 800-456-5974
Fax: 512-478-1426

To submit an application, please print, complete and mail to:

TAC Risk Management Pool
P.O. Box 2131
Austin, Texas 78768

General Liability Coverage

FORM	NEW	RENEWAL	NOTICE
Application for General Liability Coverage
Additional Application Questions for Completion by: Texas Community Supervision and Corrections Departments
General Liability Loss Notification			*

Automobile Liability Coverage

FORM	NEW	RENEWAL	NOTICE
Application for Auto Liability Coverage
Driver Schedule (form may be duplicated if needed)
Vehicle Schedule (form may be duplicated if needed)
Auto Liability Loss Notification			*

Public Officials Liability Coverage (Claims-Made Basis)

FORM	NEW	RENEWAL
Application for Public Officials Liability Coverage
Additional Application Questions for Completion by: Texas Community Supervision and Corrections Depts.
Individual Claim Data Report
Hospital Board Supplement
Airport Board Supplement
County/District Clerk Supplement

Law Enforcement Professional Liability Coverage (Claims-Made Basis)

FORM	NEW	RENEWAL
Application for Law Enforcement Liability Coverage
Bail Bonds Boards Addendum: Required with a new or renewal application
List of Participating Texas Political Subdivisions
Additional Application Questions for Completion by: Texas Community Supervision and Corrections Depts.
Individual Claim Data Report

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