AIM


Request An Application

Five ways to obtain your application:

  1. On line template allows you to fill-out and print your application
  2. Instant Download of Application as PDF.
  3. E-mail of application in PDF
  4. Fax of application (faxed within two business days)
  5. Application sent by U.S. Mail (within two business days)

Make your selection under "Preference to Receive Application" below:

Already completed Application? Looking for Supplemental Applications? 
Click Here for Financial and Real Estate Form or Supplemental Claim Application

 

Your Name:
Name of the Firm:
E-mail Address:
Address:
City, State, Zip
Phone Number:
FAX Number:
Your Current Insurance Expires:
Your Current Insurer:
Have You Previously Applied with AIM?
Preference to Receive Application Via:
Message (Optional)
 

 

 

 

 

 
Attorneys Insurance Mutual of the South, Inc., 
Risk Retention Group
200 Inverness Parkway
Birmingham, Alabama 35242
Telephone 205-980-0009
Toll Free 800-526-1246
Fax 205-980-9009