Maintenance Alert

Dear Valued Customers,

Please be informed that our online services will be temporarily unavailable due to scheduled maintenance from Saturday, February 22, 2025, through Sunday, February 23, 2025. During this period, you will not be able to access your accounts or remit payments online.

The status of your accounts will not be impacted by the inability to make payments during this downtime. We kindly ask that you contact our customer service team on Monday, February 24, 2025, to complete any payments or address any inquiries.

We apologize for any inconvenience and appreciate your understanding.

Thank you,

Team SIUPREM

SIUPREM Forms

Most of the items listed in the Download Center are available as portable document format (.pdf) files. Adobe Acrobat Reader is required to view and print the files. The software can be downloaded free of charge by clicking on the Adobe Acrobat icon below

Electronic Funds Forms

Electronic Funds Transfer – Register Form For Listing EFT Accounts

ACH Authorization Forms

Agent ACH – Agent Authorization Form for ACH Funding Option
ACH Procedures – ACH Procedure Instructions
Insured ACH or Credit Card â€“ Enrollment Form – Automatic Recurring Payments

Change Of Address Form

Change Of Address Form – Use To Request Address Change – Or Click On Change Of Address Link

Producer Information Form

Producer Questionaire – Use For New Agent Approval
Agency Update – Use To Update Agency Information

Tax Forms

W-9 – Federal Request For Tax Payer Identification Number

Quote Request Form

Download Spreadsheet

SIUPREM, Inc. is a full service independently owned premium finance company serving insureds and independent insurance agents since 1969. With over 50 years of experience in financing commercial and personal lines, SIUPREM combines industry-leading technologies with personalized customer service, creating flexible finance solutions for any application.