MNIASU Membership Application Form

Submit application with $25.00 annual dues. No fees for those qualified for Associate Membership.

REGULAR

"Regular" membership shall include only insurance or self-insured company employees primarily engaged in the investigation and/or supervision of insurance fraud and Special Agents or Supervisory Special Agents of the National Insurance Crime Bureau or ICPB.

ASSOCIATE*

"Associate" membership shall include any individual or representative of an insurance company or government agency, who is involved, or provides special expertise or services for the investigation of insurance fraud, who is endorsed in writing by a "regular" member and is not less than 18 years of age.
"Associate" membership also shall include a local, state or federal law enforcement officer or prosecutor who is involved in, or provides special expertise or services for the investigation and/or prosecution of insurance fraud crime.
*Note Sworn law enforcement and fire personnel are eligible for associate chapter membership without being members of the International Association of Special Investigation Units. If they wish to join the International Association, they may do so, at the normal International membership fee.

LEGAL ADVOCATE (Article II, Section 1 IASIU Constitution)

"Legal Advocate membership shall include any person licensed to practic law in the state where membership is being sought and who certifies that providing legal counsel and representation to insurers in defense of insurance claims constitutes a majority of their practice; and further certifies that they do not engage in plaintiff advocacy against insurers except on behalf of other insurers in subrogation actions"

Membership Type

New

Renewing

Membership Level

First Name, Middle Initial, Last Name

Company

Position

Supervisor's Name

Your Address

Your Phone

Your Fax

Your Email

Membership Type

Membership Sponsor Name Only needed if applying for an Associate Membership

Sponsor Title

I hereby make application for membership in the International Association of Special Investigation Units, MN Chapter, in accordance with its Constitution and Bylaws, Code of Ethics and agree to be bound therewith. All of the information contained in this application is warranted by me to be true. I understand this application is subject to acceptance by the Board of Directors and further that if my employment duties change so as to fall outside the requirements for membership, my membership in the organization shall be terminated.