Resources: Forms

Online Forms Archive

These forms are available for you to make changes to your policy. Please note that no change will be made until it has been confirmed by your agent.

PDF forms can not be submitted online as they require a signature, but may be faxed to 978-465-6204 or sent to 65 Parker Street, Newburyport, MA 01950.

 

Personal Insurance Forms

Annual Mileage Discount Form - If you drive less than 7,500 miles annually, most insurance companies offer a Low Mileage Discount. Submit this completed form to your Chase and Lunt Account Manager via email, fax, mail or drop it off at our 47 State Street, Newburyport office to apply for your discount. 

Application for Duplicate Certificate of Title (MA) - Mail this completed form to the Registry of Motor Vehicles along with a $25 check or money order for a duplicate title. 

Boat/ATV/Snowmobile Registration Form (MA) - Complete this form and take it to the RMV in Boston to register your boat, ATV or snowmobile with the state of Massachusetts. 

Claim for Exemption from Sales or Use Tax for a Motor Vehicle Transferred as a Gift (MA) - This form must be signed by the person giving the vehicle as a gift, and then brought by the person receiving it to Chase and Lunt to complete the transaction. This form will make the transaction exempt from sales tax, but a $25 Gifting Fee will be charged. 

Claim for Exemption from Sales or Use Tax for a Motor Vehicle Transferred Within a Family (MA) - If a vehicle is being transferred between immediate family members (spouse, son, daughter, mother, father, sister, brother), completing this form will exempt the transaction from sales tax or gift fees. If the prior and new owner reside at the same address or have the same last name, only the new owner needs to sign this affidavit. Otherwise, both parties must sign. 

 

Commercial Insurance Forms and Online Request

Condominium Certificate Request - Submit this online form directly to our processor who will have your condominium certificate back to you on the next business day.

Business Certificate Request - Submit this online form directly to our processor who will have your business certificate back to you on the next business day.

 

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65 Parker Street, Newburyport, MA 01950 - 978-462-4434
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