NOT-FOR-PROFIT DIRECTORS AND OFFICERS INSURANCE

How to Get a Non-Binding Premium Indication

Select and click on the questionnaire needed for the state in which your client is domiciled and follow the directions listed on the questionnaire. The questionnaires are printable PDFs and you can mail or fax them to:

Rockwood Programs, Inc.
Attn: Directors and Officers Insurance
4001 Miller Road
Wilmington, DE 19802
FAX: 302-764-9125

IMPORTANT: These forms are for Estimated Premium Indications Only and are non-binding. Do not send a check with these forms. A complete application and other underwriting information will be required to issue an actual premium quotation.