Membership Application

Thank you for your interest in becoming an SIAI member!  Please fill out the application posted below, print and mail with your $150 check to:

 

Self Insurance Association of Illinois
c/o Mr. Russell E. Greenblatt
Katten Muchin Rosenman LLP
525 W. Monroe, Suite 1900
Chicago, IL 60661-3693

 

Application for membership (pdf)