Apply for Dental Malpractice Insurance

To complete your application, please have your current insurance information available, including a copy of your current Declarations Page if you are insured.

• Application
• New Graduate Application*

Application Supplements and Policy Change Forms

• Dental Anesthesia Supplement
• Entity Application
• Mobile Dentistry Supplement
• Policy Limit Change Request

* Use this application if you have never practiced outside of dental school or residency.