Follow the steps to successfully fill out your application.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Enter your name in the 'Name of Applicant' field, followed by your street address, city, state, and zip code. Ensure that all information is up to date for accuracy.
3. Indicate your organization type by selecting one of the options: Individual, Partnership, Corporation, or Other. Also, enter the number of years your organization has been in business.
4. Provide the date your organization was established in the respective field.
5. Complete the Contact Information section by entering the name of the contact person for the inspection along with their telephone number.
6. Answer whether your organization has had prior insurance for the enterprise by selecting 'Yes' or 'No.' If 'Yes,' provide the necessary details about the insurance company, policy period, limits of liability, premium, and type of coverage.
7. Inquire about any claims presented in the past five years. If 'Yes,' provide a description of the claims, date of loss, and any amounts paid or reserved in the provided space or on the Attachment to A99.
8. Indicate if the applicant or anyone else seeking coverage is aware of any circumstances that may lead to claims. If applicable, provide full details on Attachment to A99.
9. Complete the section regarding any applications for liability insurance that were denied or cancelled in the past three years, including complete details if necessary.
10. If your organization provides lifeguards, complete the required fields about the number of lifeguards, pools guarded, and certification status. Confirm whether background checks are performed on lifeguards and if a lifesaving emergency plan is in place.
11. Describe the type of clients serviced, and enumerate the number of pools both with and without lifeguards. Provide payroll details as applicable.
12. Specify your anticipated gross sales for the policy period and detail any subcontracted work, confirming that certificates of insurance are obtained.
13. Select the limits of insurance requested for various categories, including general aggregate limits and personal injury limits.
14. Fill in the desired effective dates for this policy period and ensure to sign before submission.
15. Review all completed information for accuracy and clarity. Once verified, save changes, and download or print a copy of the form for your records.

Take the next step in your application process by completing the Western World Lifeguard Services Application Form online today.