Get Insurance Application - Hays Affinity Aiha

This guide provides a clear and structured approach to completing the Insurance Application - Hays Affinity AIHA online. Follow each step to ensure you provide all necessary information accurately and comprehensively.

Follow the steps to accurately complete your insurance application.

1. Press the ‘Get Form’ button to access the application and open it in your document editor.
2. Begin with the Applicant Information section. Fill in the name of the applicant or organization to be insured, as well as the contact person. Provide the physical address including city, state, and zip code. Ensure you also include a phone number, fax number, and website.
3. Continue by listing whether the organization is a sole proprietor, partnership, corporation, or other. If applicable, indicate whether the applicant is a subsidiary of another entity and disclose any subsidiaries.
4. Inquire about business operations in the last five years. You need to state if there have been any sold, acquired, or discontinued operations and include the total number of employees, differentiating between full-time and part-time staff.
5. Provide financial information by stating the gross income and payroll for both staff and subcontractors for the past and estimated upcoming twelve months.
6. If there are branch offices, list their addresses. Note the date when the business was established.
7. Detail the services provided along with the percentage of annual gross revenue and subcontracted revenue for each category. This includes various services such as asbestos, noise control, and others, making sure the total percentage equals 100%.
8. Indicate whether any activities are performed offshore or overseas and provide details about their frequency.
9. Address previous insurance by providing information about prior carrier details for Commercial General Liability and Professional Liability over the last three years.
10. Discuss loss history, specifically whether any claims have been made in the past five years and provide a detailed account if necessary.
11. Complete the subcontractors' section by confirming if the standard contract includes specified clauses, providing explanations if necessary.
12. List additional insureds if applicable and include the necessary documentation.
13. Indicate the policy period requested by filling out the effective and expiration dates, along with the desired policy limits.
14. Finalize the application by signing and dating it in ink. Ensure that all statements made are accurate and truthful.
15. Once you complete the form, save your changes, and choose to download, print, or share the application as needed.

Complete your insurance application online today for a seamless process.