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Get Involved

YES! Our company wants to be INVOLVED and have a VOICE in Indiana! Please contact me to further discuss the benefits the Insurance Institute of Indiana has to offer.

Your Name
Title
Company Name
Address	Type address here
Direct Phone Number
Email Address
Company Web Site

Brief Questionnaire: What is important to your company in Indiana?
Please rate the following areas in order of importance with 1 being most important:

Civil Justice System

1

2

3

4

Legislative

1

2

3

4

Regulatory

1

2

3

4

Taxation

1

2

3

4

Please indicate the lines of insurance important to your company in Indiana:

Health

Life

Personal Lines

Commercial Lines

Worker's Compensation


115 W. Washington Street Suite 955, South Tower Indianapolis, IN 46204 tel 317.464.2450 fax 317.464.2460