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FAPIA is a non-profit organization dedicated to establishing and maintaining the highest standards of professional conduct in the public insurance adjusting industry. FAPIA assists it’s members in carrying out provisions of Florida Law pertaining to the industry, uniting them for their benefit, offering continuing education and help them to benefit and protect Insured Floridians. Only persons who are licensed by the Florida Department of Financial Services as Public Insurance Adjusters may apply for full membership. Membership is limited to individuals of good character who fulfill all requirements of FAPIA as set by the board and membership, and who agree to abide by the FAPIA Code of Ethics.

* Indicates required field

Applicant Name *

First

Last

Email *

Phone Number *

Bar Number *

Select type of membership *

New Member Membership Renewal

Years licensed in Florida *

Years in the insurance industry *

Other licenses held *

Have there been any administrative actions against your license in Florida or any other state? Explain the circumstances & resolution. *

How did you find out about FAPIA: *

Please specify *

Company Name *

Company Phone Number *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Website *

Why are you interested in FAPIA membership? *

Additional qualifications to be considered (education, other licenses held, public service, etc.) *

Attach a photo for your FAPIA ID Card *

Max file size: 20MB

Any photo showing a clear portrait of applicant's face. Does not need to be cropped as we will adjust the image to our requirements.

Have you ever had a prior membership in FAPIA revoked or suspended? If yes, please describe the circumstances. *

By submitting this application I attest that all information on this application is true and accurate to the best of my knowledge. I will comply with the Bylaws and membership rules of FAPIA if my membership is approved. If my license is suspended or revoked by DFS for any reason, I agree that my membership will also be suspended for the same period of time.I understand that my membership fee is non-refundable.

I agree to receiving marketing and promotional materials *

Submit

Associate
Membership Application

9100 S. Dadeland Blvd Suite 1557
Miami, FL 33156

Associate ​Membership Application

​9100 S. Dadeland Blvd Suite 1557​Miami, FL 33156

Associate
Membership Application

9100 S. Dadeland Blvd Suite 1557
Miami, FL 33156