You Can't Afford Not to Have It!
Insurance Application

FEDS Contractor Liability Insurance

Contractor

Please fill out all of the information below and select the join now button at the bottom of the form. Our checkout process consists of three steps. After filling out this form you will be asked for Billing Details including Name, Address, email id and desired password for your account. Please remember your email id as this is your account id when you wish to return to the site for renewals or to reprint lost certificates.

The third step is to ask for payment details. Once you have completed these steps you will be sent a notification to the email id you provided which will include your membership certificate and payment receipt for reimbursement by your agency. Thank you for becoming a member of FEDS Association.
Policyholder Details
Please enter your gender
I hereby certify that I am a former federal employee.
Please select the federal agency or department that formerly employed you:
If your agency is not in the list above, please enter it here.
Other Work Location

Please enter your last day of Federal Employment
(mm/dd/yyyy)

Can you certify that your are performing investigative work as a contractor for the Federal government?
Please provide a brief description of the services provided:
Job Description

I represent that the above statements are true and no material facts have been suppressed or misstated. I understand that if I currently have knowledge of any allegation, claim or suit, or any act error or omission, which might reasonably be expected to result in a claim or suit, the matter for which I have prior knowledge of will not be covered by my FEDS membership.
My initials indicate I authorize purchase of professional liability insurance and the above statement is true to the best of my knowledge.



Base Policy Premium
 $750.00