Swiss Re/Westport E&O Program Enrollment

For agencies that have been in business more than three years


To apply for coverage,

  • Download and complete the application (PDF) and applicable supplements
  • Sign and date each application (note: must be signed by an owner, officer, or partner)
  • Attach five-year loss runs, if applicable
  • E-mail completed information to Joan Schim; fax to 850.893.8002; or mail to FAIA Member Services, Attn: Joan Schim, PO Box 16579, Tallahassee, FL 32317

A confirmation will be sent once the application is received.


Additional Entity Supplement
Claim Supplement
Name/Ownership Change Supplement
Acquisitions & Mergers Questionnaire
Life & Health Supplement (Use this supplement if your agency has life and/or health revenues of $500,000 or greater, if you are a life and/or health only agency, or if your agency has life and/or health revenues greater than P&C revenues.)