Get Epack Extra Ez - Tech E&o Application - Cna

Filling out the Epack Extra EZ - TECH E&O Application online is a straightforward process that can help you apply for essential liability coverage. This guide provides step-by-step instructions to assist you in completing the form accurately.

Follow the steps to successfully complete the application online.

1. Click ‘Get Form’ button to obtain the application and view it in your online editor.
2. Begin by entering the applicant's name in Item 1, as listed in the Declarations. Fill in pertinent details such as the street address (do not use a P.O. Box), city, and telephone number. Specify the state and zip code, and note the years in business.
3. Provide the website URL of your business and, if applicable, indicate the current Retro Date for prior acts coverage.
4. State the proposed effective date of the coverage you are applying for and project your annual revenues in the designated field.
5. Estimate and enter the total percentage of revenue derived from various specified technology and telecommunication services, such as cellular services, IT consulting, or managed IT services.
6. Answer the following statements truthfully by selecting 'True' or 'False.' These include declarations about using written contracts for professional services, management experience, knowledge of claims, client complaint resolutions, and software/hardware creation.
7. Carefully review and confirm the Applicant Representation section, ensuring that all information provided is accurate and acknowledges the possible implications of failure to report necessary information.
8. Sign the application at the designated area, and include your title, corporation name, and date of signing.
9. Once all sections are completed, save your changes. You have the option to download or print the form for your records or share it as required.

Get started with your application online today to secure your coverage easily.