Get Siaa Liability Insurance Application 2014-2025

Completing the SIAA Liability Insurance Application online is a crucial step for agencies seeking liability coverage. This guide will walk you through each section of the application, ensuring you fill it out accurately and completely.

Follow the steps to successfully complete the application.

1. Click 'Get Form' button to obtain the SIAA Liability Insurance Application and open it in your designated editor.
2. Begin by entering the legal name of your agency and any 'doing business as' (DBA) if applicable. Ensure this information is accurate as it represents your official entity.
3. Provide your agency's address details, including city, county, state, and zip code. Be sure to include a contact name and phone number for any follow-up questions.
4. Indicate the type of agency you are operating, such as individual, partnership, corporation/LLC, or other, and provide the establishment date and years of experience for the owner or agent.
5. List the total number of partners, staff, and any independent contractors you employ under your agency. If applicable, note if you want to cover your independent contractors under this policy.
6. Detail the names of the owners and their respective percentages of ownership within the agency to ensure proper representation.
7. Indicate the percentage of business placed in various categories, ensuring the total equals 100%. It is essential to accurately represent your agency's business structure.
8. Estimate and provide your premium volume and commissions for the past 12 months and your estimated figures for the next 12 months if you are a new agency.
9. Enter the details of your current errors and omissions (E&O) carrier, along with any expiring limits, deductibles, and expiration dates.
10. Answer questions regarding your office procedures and any other business activities in which your agency is involved, providing explanations where necessary.
11. Respond to questions regarding the agency's history, including any changes in ownership, applications for insurance, claims made, and disciplinary actions.
12. Provide information about your agency's cyber liability and data breach procedures, indicating which security measures are in place.
13. Select one of the payment options offered for your premium. Review all choices and select the one that best suits your agency's financial situation.
14. Carefully review all provided information, ensuring accuracy and completeness, and provide your signature, printed name, title, and date to finalize the application.
15. After completing the form, you can save changes, download the application, print it if necessary, or share it as required.

Complete your SIAA Liability Insurance Application online today to ensure your agency's liability protection.