Professional Insurance Agents of Indiana

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        • Nominate an Outstanding CSR
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  • Membership
    • Our Mission
    • Member Benefits >
      • EDUCATION
      • INFORMATION
      • ADVOCACY
      • PROTECTION
    • Publications
    • Join Now!
  • Education & Events
    • Annual Convention
    • Annual Golf Outing
    • CISR >
      • CISR - Online Exams
      • CISR Elite
    • CPIA
    • TRA
    • E&O Loss Seminars
    • Young Agents Events >
      • YPIA Podcast
    • Community Connects
    • Webinars
    • On-Demand CE
    • In-House Education
    • CIC
  • Insurance for Agents
    • E&O
    • Health Care Plan
    • Cyber Insurance
    • EPLI
    • Umbrella
    • PIA Trust
  • Consumer Information
    • Find an Agent
    • Careers in Insurance
    • What is PIA?
    • Why Choose an Independent Agent?
    • Glossary of Insurance Terms
  • About PIA
    • Our Mission
    • Careers in Insurance
    • Who We Are >
      • Board of Directors
      • Professional Staff
      • PIA Code of Ethics
    • StarPartners >
      • Become a StarPartner
    • Young Professional Insurance Agents
    • Advocacy >
      • IMPAC
      • National Policy & Advocacy Priorities
      • Find Your Legislator
    • Buy Button
    • Awards >
      • Award Nomination
      • Ralph Cleveland Agent of the Year
      • Young Insurance Professional of the Year
      • Company Award of Excellence
      • Company Person of the Year
      • Outstanding CSR of the Year >
        • Nominate an Outstanding CSR
    • Job Board
    • Contact Us
  • Member Portal Login
    • Perpetuation Toolkit
    • PIA's Tech Check

Award Nomination

Please complete the form below to nominate a deserving individual or company. If you have questions or would like to submit a nominee through email, please contact Keith Monfreda. Nominations for Ralph Cleveland Professional Agent, Young Insurance Professional, Company, and Company Person are due by March 21st. Nominations for Outstanding CSR are due by May 1st. 

    Award Nomination Form

    Please include as much information about the deserving individual or company as possible. We will contact you if more information is needed.
Submit

Want to submit multiple nominations?
​Simply refresh the page after you've made each submission. 
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8365 Keystone Crossing, Suite 105, Indianapolis, IN, 46240  |  Phone: (317) 899-9200
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