PSIC Applications

To obtain a quotation for the Prairie State Insurance Cooperative, the following applications must be completed:  

PSIC Member Applications for 2019/2020 - Property & Casualty/Workers Compensation 

PSIC Pollution Liability Application

PSIC Cyber AJG Privacy Protection Insurance Application Rev 2016

With the completed applications we also require:

• 5 Years of Carrier Generated Loss Runs
• Expiring Premiums