CA FAIR Plan Distribution Management

Inc., LLC, and Partnerships

"*" indicates required fields

Please complete the below with the principal/owner's information. Questions may be directed to

This Form is for all Corporations/Incorporated (Inc.), Limited Liability Companies (LLC), and Partnerships.

Only complete this form if this is your first time registering with the FAIR Plan.
Principal's Name:*
Please ensure this is the primary email address for the Principal and not a distribution list.

Please fill in your complete business address below:

Please checkmark the listed information applicable:*
Please confirm the below:*
This field is for validation purposes and should be left unchanged.