ACCO-SIG 2026/2027 Non-Law Enforcement Member Underwriting Application

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If your entity needs templates for policies click the link below.

CLICK HERE FOR TEMPLATE POLICIES

If your entity should have any questions or need assistance in completing the application, please contact Dusty Birdsong.

Direct Line - (405) 516-5318 Cellphone - (405) 802-9647
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Non-Law Enforcement Entity* This field is required.
Please Select
Please Select
Call a Ride Public Transit Trust Authority
Canadian County Expo Center Trust Authority
Cardinal Point Public Trust Authority
CED #2 Trust Authority
CED #3 Trust Authority
CED #4 Trust Authority
CED #6 Trust Authority
CED #7 Trust Authority
CED #8 Trust Authority
Cherokee County 911 Trust Authority
Comanche County Fairgrounds Trust Authority
Delaware County Solid Waste Trust Authority
Garfield County Fairgrounds Trust Authority
Grady County Fairgrounds Trust Authority
Latimer County Solid Waste Trust Authority
Leflore County Solid Waste Trust Authority
Leflore County E911 Trust Authority
McClain County 911 Trust Authority
McIntosh County 911 Trust Authority
McCurtain County Public Health Management Trust Authority
Muskogee County Transit Authority
Murray County E 911 Trust Authority
NODA Transit Trust Authority
Northern Oklahoma Developmental Trust Authority
Oklahoma Environmental Management Trust Authority
OCCEDB Trust Authority
Pittsburg County Economic Development Authority
Woods County Enhanced 911 Communication Trust Authority
Northwestern Oklahoma Solid Waste Trust Authority (Woodward)
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Does Your Entity Have an Adopted Personnel Policy?* This field is required.
YESNO
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You have selected "NO" to having a written Personnel Policy in place. By not submitting your Personnel Policy you understand that you are subject to a premium adjustment.* This field is required.
Yes
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Submit Personnel Policy* This field is required.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
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Have all employees signed and acknowledged they have read and understood the personnel policy?* This field is required.
YESNO
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Does Your Entity Have an Drug Testing Policy?* This field is required.
YESNO
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You have selected "NO" to having a written Drug Testing Policy in place. By not submitting your Adopted Personnel Policy you understand that you are subject to a premium adjustment.* This field is required.
Yes
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File Submit Drug Testing Policy* This field is required.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
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Have all employees signed and acknowledged they have read and understood the drug testing policy?
YESNO
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Does Your Entity Have an Adopted Safety Policy?* This field is required.
YESNO
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You have selected "NO" to having a written Safety Policy in place. By not submitting your Safety Policy you understand that you are subject to a premium adjustment.* This field is required.
Yes
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Submit Safety Policy* This field is required.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
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Have all employees signed and acknowledged they have read and understood the safety policy?
YESNO
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Form Completed by
First Name
Last Name
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Submitter's Phone Number
Please enter a valid phone number.
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Submitter's Email
example@example.com
Should be Empty: