Insurance Program Administered by Lockton Affinity, LLC

 


Professional Liability Application

For your convenience, professional liability applications are available on-line in PDF format.

To print, complete and fax/mail an application to RESNET Insurance Program:

  1. CLICK HERE to open the PDF file
  2. Print the application
  3. Complete the application and:
    a. Fax to 913-652-7599 OR
    b. Mail to:

    RESNET Insurance Program
    P.O. Box 410679
    Kansas City, MO 64141-0679

To download a free copy of Adobe Reader, click the link below