Get Application For Professional Liability Errors & Omissions Insurance Form

Filling out the Application For Professional Liability Errors & Omissions Insurance Form online can seem daunting, but with clear guidance, you can navigate it easily. This guide provides step-by-step instructions to help you complete the form accurately and efficiently.

Follow the steps to complete the application form with ease.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by providing an approximate percentage breakdown of your revenues among the service areas listed: Abstractor, Searcher, and Title Insurance Agent, along with any other services. Make sure to specify the percentages clearly.
3. Indicate the average years of experience for your professional employees in the fields of Abstracting/Search and Title Insurance, as well as the number of employees with less than three years of experience.
4. List all states where Title Abstracting or Searching is conducted to ensure compliance with local regulations.
5. Answer the licensing questions related to Abstractor/Searcher and Title Insurance Agent statuses, as well as whether there are legal qualifications in your state.
6. Specify if you provide U.C.C. reports and certify accuracy. Additionally, disclose if any Title Insurance Company holds an ownership interest in your practice, including the percentage owned if applicable.
7. Describe the sources of your data collection, such as courthouse records or independent abstract books, and provide any necessary attachment descriptions if applicable.
8. Indicate if you utilize computerized data processing for information retrieval and detail the methods used.
9. For Title Insurance Agents, clarify if you perform title searches or abstracts for the Title Insurance policies and whether your Title Insurance Company has been notified.
10. Provide names and years of experience for any outside sources performing searches, and list your errors and omissions carrier.
11. List all Title Insurance Companies you represent to ensure a comprehensive disclosure of your professional relationships.
12. Confirm whether any employee has faced reprimanding or legal action concerning title agent activities.
13. Finally, ensure to date the application and provide the name and signature of an authorized person to complete the form.

Take the first step towards securing your professional liability insurance by completing the application form online today.