The Wisconsin FAIR Plan

Contact Us: Phone: 414.291.5353 Fax: 414.291.5365   


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The Wisconsin Insurance Plan relies on the producer ("insurance agent" or licensed intermediary) to secure the needed information from the applicantand from other sources to properly complete the application. 


APPLICATIONS  -  for use by producers only, not for customers.

We prefer you use the complete on-line application.  However, in the event the application does not function properly, print and complete with pen.


If you have problems and the application does not print properly, do not submit it.  Call us at (414)291-5353 or e-mail us at and we will get the applications to you.


If you attempt to open these applications and you get a message that the file is damaged, it is usually because you have an older version of Adobe Reader.

To download the latest edition of Adobe Acrobat Reader click on the Adobe icon below.






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