Forms Library

Application Forms

In order to assist our agents and policyholders, our most requested forms are available for review below.

Application for Physicians and Surgeons
Application for Professional Ancillary Employees
Application for Rate Discount: Part-Time Practice
- This form should be completed at renewal by physicians seeking to receive the part-time physician discount.
Application for Increased Policy Limits
- This form must be completed by physicians requesting an increase their limits of liability. Increased limits must be approved by First Professionals.
Request for Decreased Limits of Liability
- This must be completed by physicians requesting to decrease the limits of liability.
Locum Tenens Acknowledgement
- This form will temporarily add a physician to the coverage.
Short Form Application for Insured Transferring from Clinic to Group/Individual Coverage