HPLP Application

Health Physicists Liability Program (HPLP) Application Instructions

Please select the application form below and save to your local computer. Please answer all questions by inputting the answers into the form. There are some materials that must accompany your application submission, so please review each question/entry closely. Please Zip large files before sending. Program underwriters are available to assist you in completing the HPLP application process either at (815) 814-6543 or at info@nurisk.net

When the submission is complete and ready for underwriting review, please print the application, sign/date where required, and scan/email the form along with all other materials to hplpsubmission@nurisk.net

Download HPLP Application

April 21st, 2018 by Nuclear Risk Specialists