Get Tiac Renewal Application Form

Filling out the Tiac Renewal Application Form online can streamline the process of applying for professional liability insurance. This guide will walk you through each section of the form, ensuring you understand what information is needed.

Follow the steps to complete the application accurately.

1. Click ‘Get Form’ button to access the Tiac Renewal Application Form and open it in your preferred document viewer.
2. Begin with the section titled 'Name of Applicant/Firm'. Provide all firm names, trading names, or 'doing business as' (DBA) names your organization operates under, followed by the street address and any alternate mailing address.
3. Fill in the city, county, state, phone number, and zip code. Ensure that your email address is included as it is required for communication.
4. If your organization has other offices, list all complete addresses on a separate sheet. If there are none, check the box provided.
5. Answer whether there have been any changes in your firm’s organization, ownership, or operations since last year by selecting 'Yes' or 'No'. If 'Yes', provide a detailed explanation on a separate sheet.
6. Indicate your business activities by checking the appropriate boxes for abstracting/searching, title agent, escrow/closing, or other services.
7. If applicable, list the title insurer(s) your firm has agency contracts with, and the approximate percentages of premiums derived from each insurer.
8. For the section on owners and staff, indicate the total number of all owners, officers, and employees involved in title-related activities. Also, specify how many are part-time.
9. If independent contractors are used, specify if they have their own errors and omissions insurance and describe the percentage of business performed by these contractors.
10. Provide detailed gross revenue figures for the past fiscal year and estimates for the upcoming 12 months across various categories like title agency commissions and escrow fees.
11. Answer questions regarding any ownership or association with other firms and any significant events affecting agency agreements or licensure.
12. Select the limits of liability and deductible amounts you wish to request for your insurance policy.
13. Respond to questions regarding any claims or potential claims and confirm understanding of the application’s terms.
14. Print your name, title, and signature at the end of the application confirming the accuracy of the information provided, followed by the date.
15. Once completed, save your changes, download or print the document, and then submit it as directed.

Complete and submit your Tiac Renewal Application Form online to ensure your coverage renews smoothly.