Vehicle Change Request Form : This form is used to request the addition or deletion of a vehicle to your current insurance policy directly on our website.

Location Addition Request Form: This form is used to request the addition of a new location to your current insurance policy.
PDF version
Word version

Driver Addition/Deletion Request Form or MVR Request Form: This form is used to either request our office to add/delete a driver to your current policy or request our office to pull and review a motor vehicle report (MVR )for potential hire directly on our website.

Certificate Request Form: This form is used to request directly on our website a certificate to be sent on your behalf to show insurance coverage is in place. Additional Insured and Loss Payee requests can be made on this form.

High Value Shipment Request Form (Download PDF): This form is used to request our underwriters to provide a quotation on a one time move which limit is higher then the movers current cargo limit.

Debit Authorization Form (Download PDF): This form is used to request to have funds accessed electronically to pay for premium due.

Request a Quote: This form is used to request our office to have a sales person contact your office regarding a insurance quotation. This form is completed directly on our website.

Feedback: This online form can be used to give our office feedback on our website.


Claim Reporting Forms
Transportation Loss Notice PDF version (Must use latest version of Acrobat Reader)
Transportation Loss Notice Word version
This form gives you the ability to report a Auto/Truck Liability or Physical Damage Claim. In addition this form needs to be completed, when an auto or non-auto related claim occurs to the customers physical property (i.e. carpet/hardwood floor damage claim, driveway damage, stairway damage, etc.)

Presentation of Loss and Damage Form: This form is designed to be downloaded and printed. It needs to be completed when a Inland Marine Cargo/Warehouse Legal Liability has occurred. In addition to this form, our office will need the following information: A copy of both sides of the Bill of Lading or Warehouse Receipt involved in the loss, a copy of the inventory information, and a copy of the shippers loss or damage form (if applicable). Please fax 707-252-5905 or email this information to Sandy Quiett at sandraq@paulhanson.com.
MC version (PDF)
PHP version (PDF)

Business Property Claims Reporting Form: This form gives you the ability to a report a Business Personal Property or Real Property claim directly on our website.

General Liability Claim Reporting Form: This form gives you the ability to report a General Liability claim directly on our website.


Unique Customer Forms

All Risk Cargo/Warehouse Certificated Coverage Program
All Risk Coverage Definition: Explains the difference between valuation coverage and “all risk” certificated coverage.

All Risk Certificate Program Process: Current Customer use this link to have potential “all risk” certificates processed and approved.