Get Cyber And Privacy Insurance Application Form

Completing the Cyber And Privacy Insurance Application Form can seem complex, but with a clear understanding of each section, you can navigate it smoothly. This guide provides you with step-by-step instructions to facilitate completing the application online.

Follow the steps to successfully complete your application.

1. Click the ‘Get Form’ button to access the Cyber And Privacy Insurance Application Form. This will allow you to open the document and begin filling it out in your preferred format.
2. Begin with Part 1, Company Information, where you will input details such as the company name, address (city, state, zip), applicant name, title, email address, and phone number. Specify the company type, primary industry, years established, number of employees, gross revenues for the last 12 months, and projected revenues.
3. In Part 2, Information Privacy and Governance, indicate what types of privacy information your company handles. Provide yes/no answers for questions related to government issued identification, credit card information, healthcare records, and intellectual property. Additionally, note if your company maintains a data classification policy.
4. Continue to Part 3, Security Organization, where you will answer questions about individuals responsible for overseeing information security and privacy. Indicate compliance with specified regulatory frameworks and describe any industry security frameworks used by your company.
5. Fill out Part 4, Information Security, detailing your company’s formal risk assessment processes, incident response plans, and disaster recovery. Provide comments where necessary to clarify your company's security practices.
6. In Part 5, Third Party Technology Services, specify who is responsible for the security of information at third party providers and indicate whether these services meet your required standards.
7. For Part 6, Current Network & Technology Providers, list any services currently in use, such as internet communication services, credit card processors, and cloud services, and provide details about data storage.
8. If applying for Internet Media Coverage, complete Part 7 by providing domain names and confirming legal counsel's review of your trademarks and privacy policies.
9. In Part 8, Current Loss Information, check any events that have occurred in the past five years. Use the comments section to provide further details about significant incidents.
10. Complete Part 9 by indicating which current policies you hold, such as general liability or cyber/privacy liability. Provide any additional comments as needed.
11. Finally, review the Declaration and Certification section, sign the document, and date it. Ensure that the person who signs is an authorized officer of the applicant.
12. Once all sections are filled out, you can save your changes, download, print, or share the completed form as needed.

Start filling out your Cyber And Privacy Insurance Application Form online today!