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 Molly Young at Molly@PIAIndiana.com. Nominations for Ralph Cleveland Professional Agent, Young Insurance Professional, Company, and Company Person are due April 6th. Nominations for Outstanding CSR are due by May 1st.
Want to submit multiple nominations? Simply refresh the page after you've made each submission.