Iowa Insurance Hall of Fame Nomination Form

Guidelines

To be eligible for consideration, nominees must have an Iowa connection, serve as a role model for young people as well as others in the insurance business, exhibit the highest standards of ethical conduct, and have significantly impacted the insurance industry. 

Required documentation to be included with this nomination form:

1. Nominee biographical information.

2. Summary of contributions to the insurance industry and community.

3. Other documentation to support guideline considerations, including letters of recommendation.

Nomination submissions can be made in printed form but electronic submission in PDF format is preferred.  A nomination must be received by April 1st to be considered in the current selection cycle. 

Send this nomination form and all required documentation to: 

Ellen Corwin

The Bryton Companies

1466 28th Street, Suite 100

West Des Moines, IA 50266

 

Telephone: (515) 223-1601

 

e-Mail: ecorwin@bryton.com

Nominee Information
Name:
Address:
Home Phone: Office Phone:
E mail:

Nominator Information

Name:
Address:
Home Phone: Office Phone:
E mail:

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