Applications & Resources

Click on the individual application link to view or download the pdf document(s) you need. If you do not have Acrobat Reader, you can download it for free here.
Once you have filled out and signed the pdf FORM please email the completed form back to MJUA.org.

GENERAL APPLICATIONS

Contact Carrie if you need help with General Applications

Architects & Engineers
​Liability Application

Contractors Liability Application

Daycare Liability Application

GUARDIAN AD LITEM LIABILITY APPLICATION

LANDFILL GENERAL LIABILITY APPLICATION

NONPROFIT COMMERCIAL GENERAL
​LIABILITY APPLICATION

Career Fiduciary Liability Application

Directors & Officers Liability Application

garage liability application and cover letter

INDUSTRIAL SAFETY CONSULTANT/PUBLIC
​HEALTH SPECIALIST LIABILITY APPLICATION

LIGHT SPORT AIRCRAFT APPLICATION

Pedicab Commercial General Liability Application

PROFESSIONAL SOCIAL WORKER
​LIABILITY APPLICATION

RIDING STABLE GENERAL
​LIABILITY APPLICATION

SEPTIC INSPECTORS LIABILITY APPLICATION

WATERSHED DISTRICT PUBLIC OFFICIAL
​LIABILITY INSURANCE APPLICATION

School Leaders Liability Application

Residential Housing Inspector Application

​LIQUOR LIABILITY ASSIGNED RISK PLAN

Contact Emily if you have questions concerning Liquor Applications

SHORT TERM LIQUOR LIABILITY APPLICATION

LONG TERM LIQUOR LIABILITY ​ APPLICATION

Minnesota Medical Malpractice JUA

Contact Kelly if you have questions concerning Medical Applications

HEALTH CARE PROVIDER LIABILITY APPlication

MEDICAL MALPRACTICE PROFESSIONAL
​​​LIABILITY INSURANCE COVER LETTER

Residential Assisted Living APPLICATION

HEALTH CARE PROVIDER PROFESSIONAL
​​LIABILITY INSURANCE RENEWAL APPLICATION

PHYSICIANS / SURGEONS LIABILITY APPLICATION

Physicians & Surgeons Renewal Application

Residential Assisted ​living ​renewal application

Home and Community-Based Waiver Services
​HCBS-245D Licensee Liability Application

RESIDENTIAL ASSISTED LIVING
​RENEWAL​ APPLICATION COVER LETTER

Miscellaneous Forms

FOSTER PROVIDER LIABILITY MEMO

FOSTER PROVIDER INCIDENT REPORT FORM

General RENEWAL APPLICATIONS

2026 Garage Liability Renewal Application

2026 Watershed District Public Official ​ ​
​Liability ​Renewal Application

2026 Riding stable CGL Renewal Application

2026 Day Care Liability Renewal Application

2026 Directors and Officers
​Liability ​​Insurance Renewal Application

2026 School Leaders Liability Renewal Application

2026 Landfill CGL Liability Renewal Application

2026 Nonprofit CGL Renewal Application