Become a Signatory

Still Have Questions? Contact Us

Denise Verona
Arbitration Manager

Telephone: 317.876.4262
Fax: 317.415.0803
dverona@namic.org

Become a Signatory

To become signatory to the NAMIC Arbitration Service, the company needs to sign a document committing itself to arbitration with other signatory members. Follow these steps or, fill in the form below, click Submit and we will contact you:

Print and sign the NAMIC Signatory Agreement.
Mail a copy with an original signature to:
NAMIC Arbitration Service
Attention: Denise Verona
P.O. Box 68700
Indianapolis, IN 46268

Please contact me about joining the NAMIC Arbitration Service.

Name:
Company:
Title:
Phone:
Fax:
Email:
Approximately how many subrogation cases does your company process each year?

Approximately how many arbitration cases does your company process each year?

Do you use other arbitration services?

In what state is your company domiciled?

Posted: Thursday, January 24, 2013 4:27:13 PM. Modified: Friday, January 25, 2013 11:07:12 AM.

NAMIC Arbitration Service Partners

This is a partial listing of third-party administrators that represent signatory companies in our forum. The contractual agreement is between the representative and the insurance carrier rather than with NAS directly.