Apply For Coverage

Pick Your Application Type:

You can also use our downloadable PDF application to fill-in or print, and once you have finished, either email it to or mail in.

MICA's Mailing Address: 2602 E Thomas Rd, Phoenix, AZ 85016.

  1. Back

If you have questions or need assistance with the application process, please call the MICA Team at 800-681-1840.