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Step 3: Gather documentation Step 2 Step 1

Once you've completed your forms, please attach:

  • A copy of your 1040 tax form
  • Proof that you're self-employed and living and working in downstate New York. Acceptable documentation includes a Schedule C, NYS-45, Certificate of Incorporate, K-1, or Business Certificate. To learn more on how to obtain a Business Certificate, click here. Confused? Contact Jason Silverman or Bryan Kelly (below).
  • A check for your first month's premium
  • Only if you are not already an AvantGuild member: a $59 check to "Mediabistro.com, Inc." to cover the annual AvantGuild membership fee.

You're done! Just mail in the forms.

Here's the address:

IRBA/mediabistro.com
Attn: Jason Silverman & Bryan Kelly
490 East 74th Street, Suite 5A
New York, NY 10021

Please note: Applications must be received at least 10 days prior to the effective date of the policy. All policies are effective on the first of the month.


Need more help? Unsure how to document your self-employment? Other insurance questions? Contact Jason Silverman or Bryan Kelly at or (212) 879-0122.