-endorsed CPA EmployerGard provides coverage for the legal costs and damages associated with claims by current or former employees... To learn more call 800.686.8080, or Privacy Policy

How to Submit a CPA EmployerGard EPLI Application to Brunswick Companies

Step 1: Download the application form

Click the Download Application button at right >>  

Step 2: Complete the application:

• The form is an Adobe Acrobat document that can be completed using Acrobat Reader
  
  
• Click into the appropriate fields and enter your information:
  
  
• Print the completed form, as you will not be able to save the changes you have made
  
  
• If you prefer, you may print the blank form and type in or hand-print your information
  

Step 3: Submit your License & Permit Bond application and supporting documents to Brunswick Companies: 

• Via Email:
  Scan the completed application, as well as any accompanying documents, and email to 
  webleads@brunswickcompanies.com
  
  
• Via Fax:
  Fax the documents to 330.864.8661, Attention: Professional Liability Department