Because this application requires a signature and certain attachments, it may not be submitted electronically. Please download the application form using the link below, print and fill it out, then return the completed application, signed and dated with all attachments, to:

Contact: Debbie Custis
2750 Killarney Drive, Suite 202,
Woodbridge, VA 22192-4124

 Professional Liability For Corporate Trainers Application

If you have questions about any of the information requested, please contact CIMA at:
tel: 703.739.9300
tel: 800.468.4200
fax: 703.739.0761

Or leave an email message with any questions you have.