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Independent Instructors of the Arts Applications
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1-877-648-6404
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1-260-459-5502
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1-800-237-2917
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Fill your apps out online
! After opening the appropriate .pdf document in Adobe Acrobat, simply place your cursor on the line you need to fill in and begin typing. Once you have completed the application, you may print the form out and fax it back to the number located on the application. If you have Adobe Acrobat Writer, you will be able to save the document to your computer and attach it to an email. If you do not have the software to open .pdf files, you can
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Individual Applications
Independent Instructor of the Arts Insurance Program and Enrollment Form
1570 (2/23) Independent Instructor of the Arts Insurance Program and Enrollment Form
Effective dates from 4/1/2023 through 3/31/2024
Independent Instructor of the Arts or Sciences Insurance Program and Enrollment Form
1570 (1/24) Independent Instructor of the Arts Insurance Program and Enrollment Form
Effective dates from 4/1/2024 through 3/31/2025
Program Sheet
Independent Instructor of the Arts Program Sheet
This is additional program information in a printable format. To request a coverage quotation please submit the appropriate applications contained on this page.
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