<PAGE>
<TABLE>
<S> <C> <C> <C>
FORM 5 UNITED STATES SECURITIES AND EXCHANGE COMMISSION OMB Approval
Washington, D.C. 20549 ------------------
|_| Check this box if no OMB Number 3235-0362
longer subject to Expires: December 31, 2001
Section 16. Form 4 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP Estimated average burden
or Form 5 ________________________________________________ Hours per response....1.0
obligations may
continue See Instruction
1(b).
|_| Form 3 Holdings Reported
|X| Form 4 Transaction Required
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934,
Section 17(a) of the Public Utility Holding Company Act of 1935 or
Section 30(f) of the Investment Company Act of 1940
</TABLE>
(Print or Type Responses)
<TABLE>
<S> <C> <C> <C>
-------------------------------------------- ---------------------------------------------------- ----------------------------------
1. Name and Address of Reporting Person* 2. Issuer Name and Ticker or Trading Symbol 6. Relationship of Reporting Person(s)
to Issuer (Check all applicable)
Daniels Harvey Cover-All Technologies Inc. ("COVR.OB") Director 10% Owner
---------------------------------------------------------------------------------------- - -
(Last) (First) (Middle) X Officer (give Other (specify
3. IRS or Social 4. Statement for - title - below)
c/o Cover-All Technologies Inc. Security Month/Year below)
18-01 Pollitt Dr. Number of Reporting December 31, 2000 Vice President of Marketing
Person (Voluntary) --------------------- ------------------------------------
--------------------------------------- 5. If Amendment, 7. Individual or Joint/Group Filing
(Street) Date of Original (Check Applicable Line)
(Month/Year) X Form filed by One Reporting Person
-
Fair Lawn New Jersey 07410 Form filed by More than One
- Reporting Person
-----------------------------------------------------------------------------------------------------------------------------------
(City) (State) (Zip)
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
----------------------------------------------------------------------------------------------------------------------------------
</TABLE>
<TABLE>
<S> <C> <C> <C> <C> <C> <C>
1.Title of Security 2.Trans- 3.Trans- 4. Securities Acquired (A) 5. Amount of 6. Owner- 7.Nature of
(Instr. 3) action action or Disposed of (D) Securities ship Indirect
Date Code (Instr. 3, 4 and 5) Beneficially Form: Beneficial
(Instr. Owned at Direct Owner-
8) End of Month (D) or ship
------------------------------------- (Instr. 3 and Indirect (Instr. 4)
(Month/ Code V Amount (A)or Price 4) (I)
Day/ (D) (Instr.
Year) 4)
----------------------------------------------------------------------------------------------------------------------------------
Common Stock 4/14/00 P 2000 A .8125 per 4,000 D
share
-----------------------------------------------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------
</TABLE>
<TABLE>
<S> <C>
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. (Over)
* If the form is filed by more than one reporting person, see Instruction 4(b)(v). SEC 1474 (7-96)
</TABLE>
<PAGE>
<TABLE>
<S> <C>
FORM 5 (continued) Table II-- Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
</TABLE>
<TABLE>
<S> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C>
--------------------------------- ----------- ----------- ----------- -------------------- ------------------- ---------------------
1.Title of 2. Conver- 3. Trans- 4. Trans- 5.Number of 6.Date Exer- 7. Title and 8.Price 9. Number 10.Owner- 11.Nature
Derivative sion action action Derivative cisable and Amount of of of ship of
Security or Date Code Securities Expiration Underlying Deriv- Deriv- Form Indirect
Instr. 3) Exercise (Instr. Acquired Date Securities Ative ative of Bene-
Price of (Month/ 8) (A)or (Month/Day/ (Instr. 3 Secur- Secur- Deriv- ficial
Deri- Day/ Disposed of Year) 4) Ity ities ative Owner-
vative Year) (D)(Instr. (Instr Bene- Security: ship
Security 3, 4and 5) 5) ficially Direct (Instr.
Owned (D) or 4)
------------------------------------------ at End Indirect
(A) (D) Date Expira- Title Amount of (I)
Exer- tion or Month (Instr.
cisable Date Number (Instr. 4)
of 4)
Shares
</TABLE>
<TABLE>
------------------------------------------------------------------------------------------------------------------------------------
<S> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C>
------------------------------------------------------------------------------------------------------------------------------------
Employee Stock $1.25 3/28/00 A 15,000 (1) 3/28/03 Common 15,000 15,000 D
Option (right Stock
to buy)
------------------------------------------------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------
</TABLE>
Explanation of Responses:
(1) The option vests in two equal installments, the first on March 28, 2000
and the second on September 28, 2001
<TABLE>
<S> <C> <C>
/S/ Harvey Daniels
**Intentional misstatements or omissions of facts constitute ----------------------------- January 9, 2001
Federal Criminal Violations. **Signature of Reporting Person Date
See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed.
If space is insufficient, see Instruction 6 for procedure.
Page 2
SEC 2270 (7-96)
</TABLE>
