Get Small Business Application Warrants Pf19966b 3 .doc

Completing the Small Business Application Warrants PF19966b 3 .doc is an essential step for businesses seeking insurance coverage. This guide will assist you in navigating the form with clear, step-by-step instructions to ensure that all necessary information is provided accurately.

Follow the steps to effectively complete the application form.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering your general information in Section 1. This includes your applicant name, business address, type of business, primary SIC code, year established, total number of employees, and any public-facing website URLs.
3. Proceed to Section 2 to list all subsidiaries seeking coverage. Include the subsidiary name, percentage of ownership by your firm, acquisition or formation date, and the services performed by each subsidiary.
4. In Section 3, answer the questions regarding any previous ownership changes, name changes, or mergers. If applicable, provide detailed explanations on a separate sheet.
5. Complete Section 4 by indicating the professional services your business performs. Check each applicable service and specify the percentage of total revenue from each, ensuring the percentages total 100%.
6. In Section 5, provide financial and business information, including fiscal year end date and total revenues for the last fiscal year, current fiscal year, and projected next fiscal year.
7. Fill out Section 6 by detailing your three largest clients, including the professional services provided and the revenues generated from each client.
8. Proceed to Section 7 to indicate whether you use subcontractors. If yes, answer follow-up questions regarding their insurance coverage and the percentage of services contracted out.
9. In Section 8, answer questions related to your contract practices with customers, including whether contracts are written and reviewed by legal professionals.
10. Complete Section 9 regarding professional development and risk management procedures followed within your organization.
11. In Section 10, provide details on any previous Errors and Omissions or Professional Liability Insurance you have held over the past five years.
12. Answer Section 11, which inquires about any claims experience, including any actual or alleged acts that could lead to a claim.
13. Review the Fraud Warning Statements and any relevant notices that may apply to your jurisdiction.
14. Finally, sign and date the application ensuring it is completed by an authorized officer of your firm. Double-check all entries for accuracy.
15. Once completed, you can save changes, download, print, or share the form as needed.

Start filling out your application form online today to secure your business coverage.