Get Canada Intact Insurance Professional Liability Application For First Aid Providers 2018-2025

Filling out the Canada Intact Insurance Professional Liability Application for First Aid Providers online is a straightforward process designed to help users ensure that they provide all necessary information for comprehensive coverage. This guide will take you through each section of the form step-by-step to ensure a smooth application experience.

Follow the steps to successfully complete your application

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by filling out the Applicant Firm section. Provide your firm's name, year in business, full mailing address, website address, any other trade names currently utilized, and any previous organizations or business names. Ensure that all fields are completed with accurate information.
3. In the Professional Practice section, deliver a detailed description of your firm's activities, listing gross revenues earned in the past fiscal year and projections for the next year. Include specific activities such as work-site first aid and first aid training, and summarize the geographical split of revenues based on country.
4. Indicate whether your firm possesses a Comprehensive General Liability policy and whether work is conducted solely under signed written contracts. If any work occurs at high hazard work sites, provide a description and percentage of revenue generated. Also, disclose if more than 50% of revenue comes from any single client.
5. Provide information regarding subcontracted work, detailing the type of work performed, confirmation of subcontractors holding their own Errors & Omissions insurance, and the annual amounts subcontracted over the last three fiscal years.
6. Complete the information table for all members of the Applicant Firm engaged in professional activities, ensuring to attach resumes if needed. Verify if these individuals are in good standing with the applicable Provincial College of Paramedics and disclose any disciplinary actions if applicable.
7. Move to the Prior Insurance and Claims section. Here, respond to questions regarding previous professional liability insurance, including policy period details, any cancellations or refusals of renewal by insurers, and any past claims or potential claims that may affect the insurance application.
8. In the Coverage and Deductible section, check the limit of liability and deductible amounts according to your preference. Specify the requested effective date for the coverage being applied for.
9. Review the declaration at the end of the application carefully. Sign and date the form to confirm that all details provided are true and complete. Understand that signing does not bind either party to complete the insurance but serves as a sincere entry into the application process.
10. Finally, save your changes, print the application, and share it as necessary or submit it according to your preferred process.

Start completing your online application today to secure your professional liability coverage.