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How to fill out the HCC AE 4000 online

This guide aims to assist users in completing the HCC AE 4000 application for professional liability insurance efficiently and accurately. By following the step-by-step instructions outlined here, you will be able to fill out the form with clarity and confidence.

Follow the steps to accurately complete the HCC AE 4000 application.

  1. Click the ‘Get Form’ button to obtain the HCC AE 4000 application and access it in the online editor.
  2. Enter the general information of your firm in the designated fields, including the name of the firm, date established, street address, phone number, city, state, zip code, contact email, branch office cities, and website.
  3. Specify the number of personnel in each relevant category, such as registered or licensed professionals, full-time and part-time employees. Ensure the totals are accurately calculated.
  4. Provide detailed gross receipts information, including numbers for the current fiscal year, the last fiscal year, and up to three previous years. Include approximate construction values as needed.
  5. Attach the required additional information, including current claims history, resumes of key licensed design professionals, and a list of desired limits and deductibles.
  6. Complete the professional disciplines section by entering the percentage of total gross receipts for each discipline, ensuring the total equals 100%.
  7. Fill out the services section, detailing the percentage of gross receipts associated with each service type, making sure it also totals 100%.
  8. Document the five largest current projects by providing project names, client names, locations, descriptions, services provided, total gross receipts, construction values, and year completed.
  9. Answer all subsequent sections, including information about contracts, clients, subcontractors, quality assurance/control programs, business activities, ownership interests, predecessor firms, and any other relevant details.
  10. Review the completed application thoroughly, ensuring all information is accurate and clear before final submission.
  11. Finally, save your changes, and choose whether to download, print, or share the form as necessary.

Complete your application online today for a seamless submission process.

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