Follow the steps to successfully complete the form online.

1. Click the ‘Get Form’ button to obtain the form and open it in the appropriate editor.
2. Begin by filling out Part I – Organization profile. This includes entering the name of your organization, mailing address, city, state, zip code, and contact information for key individuals such as the executive director and insurance contact.
3. Indicate whether your organization is a 501(c)3 and provide the year of establishment. Answer the question regarding ownership of the buildings listed on the accompanying ACORD form.
4. Provide details on the total number of clients served and their age groups. You will also need to outline the percentage of clients with disabilities.
5. Respond to questions about discontinued programs, planned mergers, and accreditations. If applicable, use additional pages to fully explain the circumstances.
6. Complete the section related to liability claims and incidents over the past ten years. Include any revocation or denial of licenses or accreditations.
7. Fill out information on your organization's workforce, detailing the number of employees, volunteers, and their respective roles.
8. Proceed to Part II and Part III, focusing on auto usage and professional liability. Ensure you check the appropriate boxes and provide accurate information.
9. In Parts IV through VIII, answer the questions regarding sexual abuse liability, residential facilities, fundraisers, and special events with clarity. Attach any necessary documentation as indicated.
10. Review the completed form for accuracy before signing. Submit the form electronically, or ensure that all required documents are included if submitting by other means.

Complete the AmTrust Financial MKT0833 form online today to ensure timely processing of your application.