Farmers Mutual Documents

Farmers Mutual EFT form
This form needs to be completed if you would like your policy's monthly payments set up for automatic withdrawal from your bank account.
EFT Form.pdf
Adobe Acrobat document [35.3 KB]
Farmers Mutual Good Student Discount form
Please have this completed by your child's school for possible additional discounts.
Good StudentCertification.pdf
Adobe Acrobat document [20.8 KB]
Farmers Mutual Driver Medical form
This medical form needs to be completed when requested.
Driver Medical Report.pdf
Adobe Acrobat document [16.3 KB]
Farmers Mutual Auto Driver Exclusion
Please understand this means that in the event of a loss, the insurance company is not responsible to pay for damages and/or liability caused by the excluded driver.
FM AU DRIVER EXCLUSION.pdf
Adobe Acrobat document [22.3 KB]
Farmers Mutual Motorcycle Driver Exclusion
Please understand this means in the event of a loss, the insurance company is not responsible to pay for damages and/or liability caused by the excluded driver.
FM MC DRIVER EXCLUSION.pdf
Adobe Acrobat document [22.9 KB]
Daycare Questionnaire (11-03).pdf
Adobe Acrobat document [25.2 KB]
Trampoline Questionnaire.pdf
Adobe Acrobat document [17.7 KB]
Farmers Mutual Repairmans Statement
This needs to be completed for items that may have been damaged by lighting or electrical surge.
Repairmans Statement.pdf
Adobe Acrobat document [7.8 KB]
FM Livestock Claim.pdf
Adobe Acrobat document [26.4 KB]
FMBlanketInventory.pdf
Adobe Acrobat document [57.8 KB]
RCT Worksheet.pdf
Adobe Acrobat document [22.5 KB]
Farmers Mutual Metal Roof Cosmetic Loss Exclusion form
Endorsement: Does not cover cosmetic loss to metal roofs coverings from hail.
fm exclusion of cosmetic loss.pdf
Adobe Acrobat document [33.9 KB]
Farmers Mutual Roof Exclusion
Endorsement: This excludes coverage to a roof from wind and hail until the roof is replaced and the roof is insurable again. It also excludes water damage coverage from that roof.
fm roof exclusion.pdf
Adobe Acrobat document [25.5 KB]