Membership Application – Confirmation Page

Thank you for completing the application to become a member of the New York Self Insurance Association. You will be contacted shortly regarding your membership. If you have not received a confirmation email from our website with the information submitted in the form, please check your spam folder.

If you have questions about the services which NYSIA provides its members, please contact Heidi Mahoney at (716) 668-0822, or email secretary@nyselfinsurance.com.