Professional Liability Insurance

Employment Practices Liability Insurance

Additional CPA Insurance Solutions (CA only) 

Treasury Department Reg. Sec. 1.6011-4

Accountants Professional Liability Insurance Applications

Accountants Professional Liability Insurance Application (For all states except New York and Connecticut)	Word	PDF
Connecticut Accountants Professional Liability Insurance Application	Word	PDF
New York Accountants Professional Liability Insurance Application	Word	PDF
Mid-size to large firms requiring limits of $3 million and above, please email inquiry@camico.com for an application form

Accountants Professional Liability Insurance Supplements 

For all states except New York

New York

	Supplemental Cover Sheet	Word	PDF	Word	PDF
S-1	Multiple Offices/Shared Office Space Supplement	Word	PDF	Word	PDF
S-2.1	Merged or Acquired Firm(s) Supplement	Word	PDF	Word	PDF
S-2.2	Separate Entity Supplement	Word	PDF	Word	PDF
S-3.1	Audit Service Supplement	Word	PDF	Word	PDF
S-3.2	Funds Controlled Supplement	Word	PDF	Word	PDF
S-3.4	Computer-Related Services Supplement	Word	PDF	Word	PDF
S-4	Executor/Trustee/Receiver - Estate/Trust/Receivership Supplement	Word	PDF	Word	PDF
S-5	Investment/Financial Planning Supplement	Word	PDF	Word	PDF
S-5.1	Unregistered Investment Vehicle Supplement	Word	PDF	Word	PDF
S-7	Outside Activities Supplement	Word	PDF	Word	PDF
S-8.1	SEC Supplement	Word	PDF	Word	PDF
S-8.2	Financial Institution Supplement	Word	PDF	Word	PDF
S-9	Professional License Supplement	Word	PDF	Word	PDF
S-10	Prior and Existing Claim/Incident Supplement	Word	PDF	Word	PDF
S-11	Employment Practices Defense Coverage Application	Word	PDF	N/A	N/A
S-12	Community Services Defense Coverage Application	Word	PDF	N/A	N/A

To submit an application and/or supplement(s):

1. Download and complete the appropriate application and supplements.
2. Sign, copy and send the original application and supplement(s) to CAMICO or your local agent.

CAMICO Mutual Insurance Company 
Attn: New Business
1235 Radio Road, Second Floor 
Redwood City, CA 94065
Fax: 1.800.496.9910
Email: inquiry@camico.com

Renewing CAMICO Policyholders
Complete the appropriate supplement(s) and mail with your renewal application to the Underwriting Department. If you have any questions call 1.800.652.1772 or email policyservices@camico.com.