How to Download the Application
Step 1
Make sure that you have Adobe® Acrobat Reader (or the full version of Adobe Acrobat) installed on your hard drive and configured to work with your web browser. If you don't have this useful software, you can download the latest version free from Adobe Systems by clicking on the "Get Acrobat Reader" image below.
Step 2
Click the link below to begin downloading the application form into your browser window. Follow the instructions in the cover sheet to complete and submit the application.
Get the Full-time/Part-time Application Form!
Step 3
Some applicants will need to complete one or more of the supplemental forms described below. If you need one or more of these supplemental forms, clicking the links below will bring them into your browser window. Select the forms you need and print them as described above. The application download includes one copy of the Claim Supplement, additional copies can be downloaded bedlow if needed. (Note: some of the supplemental forms cannot be completed in your browser; print the blank forms and complete them manually.)
| Description | Click to Download |
| If your firm includes more than five attorneys . . . | Risk Management Questionnaire |
| If your practice includes Business Transactions - Entertainment Law . . . | Entertainment Supplement |
| If your practice includes Patent/Trademark/Copyright Law . . . | Patent/Trademark/Copyright Supplement |
| If your practice includes Securities Law . . . | Securities Supplement |
| If you have more than one claim in the past five years . . . | Claim Supplement |
Step 4
To obtain a firm quotation of premium, you must submit a completed application which is signed and dated by a principal, partner or officer of the applicant, as well as a sample of your professional letterhead.
Mail the completed application, along with a sample of your letterhead and any required supplements, to:
Marsh Affinity Group Services
Program Administrator
P.O. Box 9277
Des Moines IA 50306-9277
For faster service you may also fax the completed application to
(515) 282-8324
Application forms and other information can also be obtained by mail via the Online Request form.