The following forms are provided online for your convenience. Please select the appropriate pdf form below.
New Application. This 4 page form is for firms not currently insured with TIAC to obtain premium quotations
Renewal Application. This short form (2 pages) is for firms to renew a TIAC policy
Prior Acts Only Renewal Application. To renew a “prior acts only” TIAC policy, use this short 1 page form.
Pay-by-FAX. Need to make a payment by FAX? Use this one page for form. It’s fast! It’s easy! It’s free!
ALTA Membership Application. This form is for new members or renewing members for TIAC insureds.
Specimen Policy Form (05/2015 Ed.) (7 pages) – Specimen copy of the TIAC E&O policy
Incident/Claim Report Form. This is a 1 page form (pdf) to report claims
Incident/Claim Report Form. If you prefer, you can use this Word document to report claims.
Expedited Premium Estimate Form. Need a Quick Quote? Use this one page form.
Coverage Evaluator. Be sure to get the BEST Errors & Omissions Insurance Coverage Available!
If you have any questions or need any other forms, please call us at (800) 628-5136, or e-mail us and request the appropriate application form(s).