Get Main Form Application - Executive Perils

Filling out the Main Form Application for Executive Perils is a crucial process for securing necessary insurance coverage. This guide provides a step-by-step approach to help users accurately complete the form online, ensuring all required information is submitted.

Follow the steps to complete your application successfully.

1. Click ‘Get Form’ button to obtain the application and access it online.
2. Begin by filling out the Applicant Information section, providing the name of the applicant, subsidiaries, street address, city, state, telephone, zip code, and fax number. Ensure the proposed effective date of coverage is included.
3. Designate an officer to receive correspondence; include their title, name, and email.
4. Indicate the ownership structure and type of business. Specify the number of years in business and describe the nature of the applicant's business, including the Standard Industrial Classification (SIC) code.
5. For Expiring Coverage Information, complete the details for any current or previous insurance coverage which requires limits and retentions for Directors & Officers, Employment Practices Liability, and any other applicable coverage.
6. Provide General Information, addressing prospective changes in operations, management, or workforce affecting the applicant, while answering all Yes/No questions thoroughly.
7. Fill in the Financial Information section with values for total assets, long-term debt, total equity, revenues, EBIT, and net income, ensuring answers to any auditor concerns are included.
8. Submit Claims Information detailing any claims or notices of claim made in the last three years; answer all questions regarding legal proceedings or compliance issues.
9. If seeking coverage for Directors & Officers or Employment Practices, complete the respective sections with required details, including total shares and anticipated transactions.
10. Complete the Fiduciary Liability and Crime Coverage sections if applicable, supplying requested details about the plans and security measures.
11. Before submitting, review the Applicant Representation section for accuracy, ensuring all responses are truthful and reflect the current state of the organization.
12. Save changes, then download, print, or share the completed application as necessary.

Complete your documents online for a smoother insurance application process.