Submit an Application

To see the lines of business we write please visit our “Programs List” tab.

To find a specific application please visit our “Find an Application” tab. 

When you have completed all required sections, use the “Submit Application” button below.

If you already have a fully completed ACORD Form along with a JKRAR Supplemental application please submit them here!

If you are having any trouble with filling out an Acord Form this video will help you out!

Acord 125 Form (2:21)

Acord 126 Form (13:10)

Acord 140 Form (21:33)

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Joseph Krar & Associates, Inc.

Direct (860) 628-3967 | Fax (860) 628-3969 | Toll Free (800) 886-5050 | P. O. Box 580, 1676 West St. Southington, CT 06489

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