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Still Have Questions? Contact Us

Denise Verona

Denise Verona
Arbitration Manager

Telephone: 317.876.4262
Fax: 317.415.0803
dverona@namic.org

Form Downloads


How to Download

To view, click on the link below. To download to your computer, right click on the link and 'save target as'. To open for printing, just click on the link. The forms can be filled in on your computer. All forms must be printed and mailed to the address shown on that form.


 Petition and Response

Use this form when Filing a new Petition or Responding to an Arbitration

 Special Arbitration Waiver

Use this form when you want to give jurisdiction on a wide variety of claims (homeowner, farmowner, BI, etc). Filing procedures are the same as regular arbitration with the exception that all parties must sign the Special Arbitration Waiver consenting to be bound by the decision rendered.

 Waiver of Non- Jurisdiction

This form provides an option when a non-signatory company is involved. Filing procedures are the same as regular arbitration with the exception that all parties must sign the Waiver of Non-Jurisdiction Form consenting to be bound by the decision rendered.

 Signatory Agreement

Any property/casualty insurance company may become a Signatory by signing the NAMIC Arbitration Service Signatory Agreement. This Agreement has as its objective the promotion of the settlement of disputed claims by arbitration rather than by litigation.


Instructions for using the PDF fill in form.


If you do not have the Adobe Acrobat file viewer, we have provided a direct link to the site where you can download this free software. Download the Adobe Acrobat file viewer.

Posted: Thursday, January 24, 2013 3:24:16 PM. Modified: Thursday, January 24, 2013 3:25:04 PM.



NAMIC Arbitration Service Partners


Paragon Latitude Subrogation Services National Subrogation Servcies, LLC Wilber Law Firm, PC AFNI Thomas George Associates, Ltd. Client Services Incorporated DKA, inc. A Subrogation Company Wilber AnSR SDI

317.875.5250 - Indianapolis  |  202.628.1558 - Washington, D.C.

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