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This policy provides coverage to individual students in the Mental Health field who are working towards a degree and require insurance for duties performed as part of their school curriculum including field placement.

Student Professional Liability Insurance Program

Online Applications

Student online application
Before 9/1/2014 effective date

Student online application
9/1/2014 effective date or greater

Student renewal application

Rates

Student Rates

Contact Information

Download Application

Student Application
Renewal Application
Student New Business Brochure
Note: Before mailing an application,
Did you:
  • Answer ALL Questions?
  • Sign and date the application?
  • Did you include your check?
Request forms by mail

Program Information


Forms

Policies

 
Questions? Contact us at
(800) 421-6694
Customer Servcie Representative
 

Payment

Credit Card Payments are accepted on-line only,
as we do not accept credit card payments over the phone.
Please call (800) 421-6694 and we will inform you as to how you can pay by Credit Card.
We accept the following: Credit Cards Accepted

American Professional Agency, Inc.
LEADERS IN PROFESSIONAL LIABILITY/ MALPRACTICE INSURANCE