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Applying for Insurance
Policy Management
Producer Information
General Information
Contact Us

New Business Application

1

Producer

2

Named Insured

3

Commercial property

4

Loss History

5

Additional Interests

6

General Information

7

Submission

Producer

Are you a Producer submitting this new business application for an Insured?

Yes

No

To register with NYPIUA, please refer to Producer Information for instructions

NYPIUA

Applying for Insurance Policy Management Producer Information General Information Contact Us

Payments

By mail: make checks payable to NYPIUA

P.O. Box 1856 Poughkeepsie, NY 12601-0856

By phone: (212) 208-9700

By web: Make a Payment

Report a Claim

By phone: (212) 208-9700 and select option to report a claim

(Customer Service Representatives are available Monday - Friday 8:30 am to 4:30 pm EST. After hours and holidays, feel free to report by leaving us a voicemail)

By web: Report a Claim

By fax: (845) 218-3099

By email: claimsinfo@nypiua.com

Contact Information

Telephone: (212) 208-9700 or (800) 522-3372

Fax: (845) 218-3099

NYC Office

80 Pine Street

31st Floor

New York, NY 10005

(Customer Walk-in Center available on Tuesdays, Wednesdays & Thursdays from 8:30 AM - 4:30 PM)

Wappingers Falls Office (mail only)

155 Myers Corners Road

Wappingers Falls, NY 12590

Go Paperless Terms & Conditions

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