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Apply for Insurance

If you already know which type of insurance you are interested in, you can download our application forms here. If you aren't sure which type of insurance is right for you, read more about our APL, EPL, and APLL policies on their respective pages.


APL and APLL Application

This is an application for a "Claims Made" policy. If an insurance policy is subsequently issued, it will only apply to claims first made against the insured during the policy period.

Click here to download an APL and APLL application form (PDF 72K)

EPL Application

This is an Application Form for a Claims Made Policy.

Click here to download an EPL application form (26K PDF)


11801 Research Drive
Alachua, FL 32615-6818
(800) 543-3029 or (386) 418-4003
Fax: (386) 418-4004
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CPA Mutual
Insurance Company of America
Risk Retention Group