Get Canada Preventative Health Services Group Application Form 2015-2025

Filling out the Canada Preventative Health Services Group Application Form online is an essential step for those seeking liability insurance coverage. This guide provides a clear and structured approach to completing the form, ensuring that all necessary information is accurately provided for effective processing.

Follow the steps to complete the application efficiently.

1. Press the ‘Get Form’ button to access the application form and open it in the online editor.
2. Enter your personal details in the designated fields, including your first name, middle initial, surname, mailing address, city, province, postal code, telephone number, residence, fax number, and email.
3. Provide the effective date and the coverage required. Ensure you have your membership number ready.
4. Indicate the number of years you have practiced as a preventative health services professional.
5. Answer the questions regarding signed waiver forms, any additional insured parties, and whether you are a business owner and incorporated.
6. Select your desired coverage options from the provided list, ensuring to check all modalities that you require.
7. If applicable, provide details on any prior claims or knowledge of situations that could lead to claims.
8. Complete the personal privacy consent form by confirming your approval for Aon to collect and use your information.
9. Sign and date the application declaration to confirm the accuracy of the provided information.
10. Review the payment section, calculate your total premiums, and ensure that all necessary fees are included.
11. Once completed, you can save your changes, download, print, or share the form as needed.

Complete your application online today and ensure you have the necessary coverage for your preventative health services.