SELF Underwriting Renewal Forms

Access links to the Annual Underwriting Renewal Forms for the Excess Liability Program will be sent out via e-mail Thursday, August 1 and will be due August 31.

Or you can access your form from this page by clicking on the link to the SELF Resource Center below (you will need your User Id and password):

This link was also provided in the e-mail that was sent to your district/agency's representative, along with the User Id and Password that will be required to log into the site and access your prior year information. Please update any information that has changed and submit your completed form by August 31, 2019. If this is the first year you are receiving this form, you will need to fill it out in its entirety.

If you need assistance with your renewal form, are in need of your log-in information, or have any questions please contact Lois Gormley, SELF's Director of Communications & Member Services at 916-553-3203 or Jessica Vega, Member Services Specialist at 916-469-3209 or by email at lois@selfjpa.org or jessica@selfjpa.org.

Supplemental Information

If your district/agency has any other supplemental information you have been asked to provide based on your responses to certain questions within the renewal form, please  submit it via e-mail with the subject line "Excess Liability Renewal Form" to info@selfjpa.org.

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