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  • Insurance Products
    • Automobile Insurance
    • Business Insurance
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    • Farm Owners Insurance
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    • Access Your Policy
    • Claims Center
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Forms Library

Forms LibraryKim Floyde2022-08-12T08:57:57-06:00

For your convenience, you may download many of our policy forms here. If you can’t find what you’re looking for, call us at 888-683-5253 and we’ll be happy to help!


AgriSompo North America

  • Assignment of Indemnity
  • Multiple Peril Crop Insurance (MPCI) Application
  • MPCI Release of Crop History
  • Policy Change Request
  • Request for Fall-Planted Wheat or Barley in Spring Only County


Rural Community Insurance Services

  • Assignment of Indemnity
  • Multiple Peril Crop (MPCI) Insurance Application
  • MPCI Policy Change/Cancellation Form
  • Power of Attorney
  • Request for Winter Coverage
  • Authorization to Transfer Actual Production History

  • Access Your Policy
  • Report a Claim
  • Download a Form
  • Pay Your Bill
  • Links & Resources

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OUR PRODUCTS

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SUPPORT

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Last updated on Sunday, February 5, 2023
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LISBON OFFICE

Walock-Johnson Insurance, Inc.
502 Oak Street
PO Box 513
Lisbon, ND 58054

701-683-5253 Local
888-683-5253 Toll-Free
888-436-5536 Fax

Hours: 8:00 AM to 4:30 PM
(Monday-Friday)

GWINNER OFFICE

Walock-Johnson Insurance, Inc.
20 North Main Street
PO Box 250
Gwinner, ND 58040

701-678-2771 Local
888-683-5253 Toll-Free
888-436-5536 Fax

Hours: 8:30 AM to 4:30 PM
(Monday-Friday)

RUTLAND OFFICE

Walock-Johnson Insurance, Inc.
101 1st Street
PO Box 9
Rutland, ND 58067

701-724-6484 Local
888-683-5253 Toll-Free
888-436-5536 Fax

Hours: 8:30 AM to 4:30 PM
(Wednesday-Friday)

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