Get Houston Casualty Fillable Epli Application Form

Filling out the Houston Casualty Fillable EPLI Application Form is an essential step for businesses seeking employment practices liability insurance. This guide will walk you through each section of the form, ensuring you provide all the necessary information in a clear and organized manner.

Follow the steps to accurately complete your application online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin with the general information section. Enter the name of the applicant, complete the mailing address, and provide contact details, including phone number, fax number, and email address.
3. Designate the type of business, such as corporation, partnership, joint venture, individual, or other. Describe the nature of your business in the designated field.
4. Input the annual receipts or sales for the past financial year, the current financial year, and the next financial year with estimates where applicable.
5. Indicate how long the company has been in business and provide information on any changes in management on a separate sheet if necessary.
6. Specify the limits and deductibles requested for the insurance coverage.
7. Provide the requested effective date for the insurance coverage.
8. Address the corporate history section by circling 'Yes' or 'No' for the questions about acquisitions and employee terminations within the last two years.
9. In the loss history section, furnish detailed descriptions regarding any wrongful termination, discrimination, and sexual harassment claims. If there are none, clearly state 'none'.
10. Respond to the employment section by detailing the total number of employees, salary ranges, turnover rates, and indications of employment agreements if applicable.
11. Complete the human resources section with information about your HR policies, training programs, and employee evaluation procedures.
12. Review the checklist sections and ensure you have included necessary documents such as the EEO-1 Report and employee handbook.
13. Date the application and provide two authorized signatures from individuals in charge, one being a principal partner or officer and the other either a human resource personnel or an authorized person.
14. Once all sections are fully completed, save your changes. You can then download, print, or share the form as needed.

Complete the Houston Casualty Fillable EPLI Application Form online and ensure your business is protected.