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Renewal Applications

Find below medical professional liability insurance renewal applications for physicians, paramedical and allied healthcare professionals, and hospitals and facilities. Dental professional liability applications are on the DentistCare website; select the 'How to Apply' menu item and then find your state in the drop box. Applications for the Ob-Gyn Risk Alliance (OBRA) are posted to OBRA's website; select the 'How to Apply' menu item and then find your state in the drop box. 

Completed applications can be emailed to our Service Center using RenewalApps@ProAssurance.com. For more information please call 800-282-6242.

Those not currently insured by ProAssurance can find the appropriate forms on our Applications for Prospective Clients page.

Physicians

Alabama |
5 pages • 8.5 x 11 in • 309 KB
Alabama Arbitration Agreement |
1 page • 8.5 x 11 in • 160 KB
Arizona |
5 pages • 8.5 x 11 in • 320 KB
Arkansas |
5 pages • 8.5 x 11 in • 320 KB
Colorado |
5 pages • 8.5 x 11 in • 320 KB
Connecticut |
5 pages • 8.5 x 11 in • 193 KB
Delaware |
7 pages • 8.5 x 11 in • 273 KB
District of Columbia |
5 pages • 8.5 x 11 in • 193 KB
Florida |
5 pages • 8.5 x 11 in • 427 KB
Georgia |
5 pages • 8.5 x 11 in • 320 KB
Idaho |
5 pages • 8.5 x 11 in • 320 KB
Illinois |
7 pages • 8.5 x 11 in • 273 KB
Indiana |
5 pages • 8.5 x 11 in • 193 KB
Iowa |
7 pages • 8.5 x 11 in • 273 KB
Kansas |
5 pages • 8.5 x 11 in • 320 KB
Kentucky |
7 pages • 8.5 x 11 in • 273 KB
Maine |
5 pages • 8.5 x 11 in • 193 KB
Maryland |
5 pages • 8.5 x 11 in • 193 KB
Michigan |
7 pages • 8.5 x 11 in • 273 KB
Minnesota |
7 pages • 8.5 x 11 in • 273 KB
Mississippi |
7 pages • 8.5 x 11 in • 273 KB
Missouri |
5 pages • 8.5 x 11 in • 179 KB
Montana |
5 pages • 8.5 x 11 in • 193 KB
Nebraska |
7 pages • 8.5 x 11 in • 273 KB
Nevada |
5 pages • 8.5 x 11 in • 324 KB
New Hampshire |
5 pages • 8.5 x 11 in • 193 KB
New Jersey |
7 pages • 8.5 x 11 in • 273 KB
New York |
6 pages • 8.5 x 11 in • 179 KB
North Carolina |
5 pages • 8.5 x 11 in • 193 KB
Ohio |
5 pages • 8.5 x 11 in • 193 KB
Oklahoma |
5 pages • 8.5 x 11 in • 320 KB
Oregon |
5 pages • 8.5 x 11 in • 320 KB
Pennsylvania |
7 pages • 8.5 x 11 in • 273 KB
Rhode Island |
5 pages • 8.5 x 11 in • 179 KB
South Carolina |
5 pages • 8.5 x 11 in • 193 KB
South Dakota |
7 pages • 8.5 x 11 in • 273 KB
Tennessee |
5 pages • 8.5 x 11 in • 320 KB
Texas |
5 pages • 8.5 x 11 in • 290 KB
Utah |
5 pages • 8.5 x 11 in • 193 KB
Vermont |
5 pages • 8.5 x 11 in • 193 KB
Virginia |
5 pages • 8.5 x 11 in • 276 KB
Washington |
5 pages • 8.5 x 11 in • 320 KB
West Virginia |
5 pages • 8.5 x 11 in • 320 KB
Wisconsin |
7 pages • 8.5 x 11 in • 273 KB
Wyoming |
5 pages • 8.5 x 11 in • 320 KB
Payment Plan Options |
1 page • 8.5 x 11 in • 116 KB
Universal Fraud Warning |
2 pages • 8.5 x 11 in • 61 KB

Physician Corporations

Alabama |
4 pages • 8.5 x 11 in • 199 KB
Alabama Arbitration Agreement |
1 page • 8.5 x 11 in • 160 KB
Arizona |
4 pages • 8.5 x 11 in • 179 KB
Arkansas |
4 pages • 8.5 x 11 in • 179 KB
Colorado |
4 pages • 8.5 x 11 in • 179 KB
Connecticut |
4 pages • 8.5 x 11 in • 146 KB
Delaware |
4 pages • 8.5 x 11 in • 155 KB
District Of Columbia |
4 pages • 8.5 x 11 in • 146 KB
Florida |
4 pages • 8.5 x 11 in • 227 KB
Georgia |
4 pages • 8.5 x 11 in • 179 KB
Idaho |
4 pages • 8.5 x 11 in • 179 KB
Illinois |
4 pages • 8.5 x 11 in • 155 KB
Indiana |
4 pages • 8.5 x 11 in • 146 KB
Iowa |
4 pages • 8.5 x 11 in • 155 KB
Kansas |
4 pages • 8.5 x 11 in • 179 KB
Kentucky |
4 pages • 8.5 x 11 in • 155 KB
Maine |
4 pages • 8.5 x 11 in • 146 KB
Maryland |
4 pages • 8.5 x 11 in • 146 KB
Michigan |
4 pages • 8.5 x 11 in • 155 KB
Minnesota |
4 pages • 8.5 x 11 in • 155 KB
Mississippi |
4 pages • 8.5 x 11 in • 155 KB
Missouri |
4 pages • 8.5 x 11 in • 146 KB
Montana |
4 pages • 8.5 x 11 in • 146 KB
Nebraska |
4 pages • 8.5 x 11 in • 155 KB
Nevada |
4 pages • 8.5 x 11 in • 160 KB
New Hampshire |
4 pages • 8.5 x 11 in • 146 KB
New Jersey |
4 pages • 8.5 x 11 in • 155 KB
New York |
5 pages • 8.5 x 11 in • 233 KB
North Carolina |
4 pages • 8.5 x 11 in • 146 KB
Ohio |
4 pages • 8.5 x 11 in • 146 KB
Oklahoma |
4 pages • 8.5 x 11 in • 179 KB
Oregon |
4 pages • 8.5 x 11 in • 179 KB
Pennsylvania |
4 pages • 8.5 x 11 in • 155 KB
Rhode Island |
4 pages • 8.5 x 11 in • 146 KB
South Carolina |
4 pages • 8.5 x 11 in • 146 KB
South Dakota |
4 pages • 8.5 x 11 in • 155 KB
Tennessee |
4 pages • 8.5 x 11 in • 179 KB
Texas |
4 pages • 8.5 x 11 in • 160 KB
Utah |
4 pages • 8.5 x 11 in • 146 KB
Vermont |
4 pages • 8.5 x 11 in • 146 KB
Virginia |
4 pages • 8.5 x 11 in • 160 KB
Washington |
4 pages • 8.5 x 11 in • 179 KB
West Virginia |
4 pages • 8.5 x 11 in • 179 KB
Wisconsin |
4 pages • 8.5 x 11 in • 155 KB
Wyoming |
4 pages • 8.5 x 11 in • 179 KB
Payment Plan Options |
1 page • 8.5 x 11 in • 116 KB
Universal Fraud Warning |
2 pages • 8.5 x 11 in • 61 KB

Physician Supplemental

New York |
1 page • 8.5 x 11 in • 89 KB
Practice Hours Supplemental Application |
1 page • 8.5 x 11 in • 158 KB

Paramedical

Alabama |
5 pages • 8.5 x 11 in • 228 KB
Alabama Arbitration Agreement |
1 page • 8.5 x 11 in • 160 KB
Arizona |
5 pages • 8.5 x 11 in • 262 KB
Arkansas |
5 pages • 8.5 x 11 in • 262 KB
Colorado |
5 pages • 8.5 x 11 in • 262 KB
Connecticut |
5 pages • 8.5 x 11 in • 176 KB
Delaware |
5 pages • 8.5 x 11 in • 230 KB
District Of Columbia |
5 pages • 8.5 x 11 in • 176 KB
Florida |
5 pages • 8.5 x 11 in • 2174 KB
Georgia |
5 pages • 8.5 x 11 in • 262 KB
Idaho |
5 pages • 8.5 x 11 in • 262 KB
Illinois |
5 pages • 8.5 x 11 in • 230 KB
Indiana |
5 pages • 8.5 x 11 in • 176 KB
Iowa |
5 pages • 8.5 x 11 in • 230 KB
Kansas |
5 pages • 8.5 x 11 in • 262 KB
Kentucky |
5 pages • 8.5 x 11 in • 230 KB
Maine |
5 pages • 8.5 x 11 in • 176 KB
Maryland |
5 pages • 8.5 x 11 in • 176 KB
Michigan |
5 pages • 8.5 x 11 in • 230 KB
Minnesota |
5 pages • 8.5 x 11 in • 230 KB
Mississippi |
5 pages • 8.5 x 11 in • 230 KB
Missouri |
5 pages • 8.5 x 11 in • 176 KB
Montana |
5 pages • 8.5 x 11 in • 176 KB
Nebraska |
5 pages • 8.5 x 11 in • 230 KB
Nevada |
5 pages • 8.5 x 11 in • 228 KB
New Hampshire |
5 pages • 8.5 x 11 in • 176 KB
New Jersey |
5 pages • 8.5 x 11 in • 230 KB
New York |
6 pages • 8.5 x 11 in • 266 KB
North Carolina |
5 pages • 8.5 x 11 in • 176 KB
Ohio |
5 pages • 8.5 x 11 in • 176 KB
Oklahoma |
5 pages • 8.5 x 11 in • 262 KB
Oregon |
5 pages • 8.5 x 11 in • 262 KB
Pennsylvania |
5 pages • 8.5 x 11 in • 230 KB
Rhode Island |
5 pages • 8.5 x 11 in • 176 KB
South Carolina |
5 pages • 8.5 x 11 in • 176 KB
South Dakota |
5 pages • 8.5 x 11 in • 230 KB
Tennessee |
5 pages • 8.5 x 11 in • 262 KB
Texas |
5 pages • 8.5 x 11 in • 232 KB
Utah |
5 pages • 8.5 x 11 in • 176 KB
Vermont |
5 pages • 8.5 x 11 in • 176 KB
Virginia |
5 pages • 8.5 x 11 in • 232 KB
Washington |
5 pages • 8.5 x 11 in • 262 KB
West Virginia |
5 pages • 8.5 x 11 in • 262 KB
Wisconsin |
5 pages • 8.5 x 11 in • 230 KB
Wyoming |
5 pages • 8.5 x 11 in • 262 KB
Payment Plan Options |
1 page • 8.5 x 11 in • 116 KB
Universal Fraud Warning |
2 pages • 8.5 x 11 in • 61 KB

Allied Healthcare Professionals

Illinois |
4 pages • 8.5 x 11 in • 105 KB
Michigan |
4 pages • 8.5 x 11 in • 105 KB
New Jersey |
4 pages • 8.5 x 11 in • 105 KB
Payment Plan Options |
1 page • 8.5 x 11 in • 116 KB
Universal Fraud Warning |
2 pages • 8.5 x 11 in • 87 KB

Hospitals and Healthcare Systems

Alabama
9 documents
Arkansas
9 documents
Delaware
9 documents
District of Columbia
9 documents
Georgia
9 documents
Illinois
9 documents
Indiana
9 documents
Iowa
9 documents
Kansas
9 documents
Kentucky
9 documents
Maryland
9 documents
Michigan
9 documents
Minnesota
9 documents
Missouri
9 documents
Nebraska
9 documents
Nevada
9 documents
New York
9 documents
North Carolina
9 documents
Ohio
9 documents
Oklahoma
9 documents
South Carolina
9 documents
South Dakota
9 documents
Tennessee
9 documents
Texas
9 documents
Utah
9 documents
Virginia
9 documents
Wisconsin
9 documents
Wyoming
9 documents