CFI Non-Owned Aircraft Insurance

Note: CFI policies are not available in Alaska or Hawaii. Non-owned aircraft policies are available to individuals, not businesses. Employers may be added as an additional insured (additional premium may apply) if your employer is not engaged in an aviation business. If your employer is engaged in an aviation business please call us at (888) 241 7891. Coverage is not available to rent or borrow rotorcraft or seaplanes.

Contact Information

Are you a U.S. Citizen? *

Yes No

First Name *

M.I.

Last Name *

Address *

City *

State *

Zip *

Email *

Phone *

Occupation

How did you hear about us?

Business/Person that referred you:

This session will expire after 30 minutes of inactivity

CFI Non-Owned Aircraft Insurance

Pilot Information

Date of Birth *

FAA Certificate Type *

Total Flight Time

Total logged hours in the last 12 months

Do you have a current FAA flight review? *

Yes No

Do you have a valid medical for the pilot certificate privileges being exercised? *

Yes No

Are you only flying gliders? *

Yes No

Do you have an instrument rating?

Yes No

Note: Glider Pilots do not require a medical certificate to obtain insurance.

CFI Non-Owned Aircraft Insurance

Coverage Desired

CFI Non-Owned Coverage for Single Engine Aircraft, SLSA, and Gliders

Avemco Safety Rewards Program, Save up to 10% Annually*

In the Previous 12 Months:
Have you obtained any additional Certificates, Ratings or received any recurrent flight training? *

Yes No

If "Yes," please provide detailed info including Type & Amount of Hours *

In the Previous 12 Months:
Have you participated in any FAASTeam WINGS Knowledge courses? *

Yes No

If "Yes," please provide the course title *

*Premium credits apply to the Direct Approach Non-Owned Aircraft Insurance Policy POL0002 and are subject to underwriting guidelines.

This session will expire after 30 minutes of inactivity

CFI Non-Owned Aircraft Insurance

Within The Past 36 Months Have You?

Been cancelled, declined, or refused renewal on an aircraft insurance policy? * (Not applicable in Missouri)

Yes No

Had an aircraft accident, incident, or insurance claim? *

Yes No

Had your pilot certificate or driver's license surrendered, suspended, or revoked?

Yes No

Been arrested or charged with operating an aircraft or motor vehicle while under the influence of drugs or alcohol? *

Yes No

Been convicted of, or plead "Guilty" or "No contest" to any felony or misdemeanor other than parking violations? *

Yes No

If "Yes" to any of these questions, please explain below (1190 character limit)

You have exceeded 1190 characters

Employer As Additional Insured (optional)

Is your employer in an aviation business? *
(Employers in an aviation business cannot be added as an additional insured.)

Yes No

Add your employer as an additional insured? *
(Additional charges may apply.)

Yes No

If adding your employer as an additional insured, please provide the following information:

Employer Name *

Employer Street Address #1 *

Employer Street Address #2:

Employer City *

Employer State *

Zip Code *

This session will expire after 30 minutes of inactivity

Select One:	Each Person	Property Damage	Each Accident	Premium
	$25,000	$250,000	$250,000	$160.00
	$50,000	$500,000	$500,000	$260.00
	$100,000	$500,000	$500,000	$425.00
	$100,000	$1,000,000	$1,000,000	$510.00

Select One:	Aircraft Damage Limit	Premium
	0	N/A
	$1,000	$70.00
	$5,000	$135.00
	$10,000	$170.00
	$15,000	$230.00
	$20,000	$245.00
	$25,000	$305.00
	$30,000	$340.00
	$35,000	$400.00
	$40,000	$455.00
	$45,000	$510.00
	$50,000	$550.00
	$55,000	$610.00
	$60,000	$620.00
	$65,000	$665.00
	$70,000	$745.00
	$75,000	$800.00
	$80,000	$820.00
	$100,000	$1025.00
	$150,000	$1,540.00

CFI Non-Owned Aircraft Insurance

Contact Information

CFI Non-Owned Aircraft Insurance

Pilot Information

CFI Non-Owned Aircraft Insurance

Coverage Desired

Avemco Safety Rewards Program, Save up to 10% Annually*

CFI Non-Owned Aircraft Insurance

Within The Past 36 Months Have You?

Employer As Additional Insured (optional)

Please Select the Limits of Coverage You Wish to Purchase

NOTICE