The UtilitySure program is available to independent agents in the U.S. You must be approved to write business with Willis Programs before you we can bind coverage for your client.  If you are not, please visit our “Writing Business With Us” page. In an instance where the same submission is received from more than one broker, a Broker of Record letter determines control.

The submission should include the following:

• UtilitySure Supplemental Application - This application is REQUIRED with a submission and MUST be signed by the insured.
• Completed Acord applications, signed by the insured, including detailed property information to include construction, occupancy, square footage, and age.
• 5 years of currently valued carrier loss runs
• 3 years of DOT (PHMSA F 7100 1.1) reports
• 3 years of leak cap reports
• Updated driver information

Send Completed applications to: