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GL Application and other Supplemental Forms

Listed below you will find our forms in both Word and PDF format. Please select the best format for your computer system, click the link and save the document. After you have completed filling out your form(s) you may fax it to (225) 927-3295. You may also scan and email your form to info@lipca.com.

If you would prefer to mail the forms please send to:

LIPCA, Inc.
3042 Old Forge Drive, Suite A
Baton Rouge, LA 70808

  • General Liability Application
    Word  |  PDF
  • Lawn & Landscape Supplement
    Word  |  PDF
  • Fumigation Supplement
    Word  |  PDF
  • Commercial Property Supplement
    Word  |  PDF
  • Umbrella Supplement
    Word  |  PDF