Follow the steps to complete the insurance application seamlessly.

1. Click ‘Get Form’ button to obtain the application and open it in your web browser.
2. Begin by entering your account information. Provide the name of the applicant, contact details, and choose the business entity type such as LLC, partnership, or corporation.
3. Input the location addresses, including both physical and mailing addresses, along with your phone and fax numbers.
4. Fill in the date your business was established and the desired effective date of your insurance. Select your desired limits of liability and deductible.
5. Indicate your gross receipts for the past 12 months and provide an estimate for the next 12 months.
6. Describe the services provided by your business, ensuring to be as detailed as possible.
7. Answer whether you have any ancillary operations not stated previously, and if so, provide details on the last page of the form.
8. Enter the total number of patient/client visits last year and an estimate for the upcoming year.
9. Indicate if you work with professional athletes and/or celebrities, and provide the percentage of exposure if applicable.
10. Confirm if you treat minors and provide the percentage of exposure if applicable.
11. Answer the screening questions regarding patient/client conditions that may pose risks, marking yes or no accordingly.
12. Confirm if informed consent forms are used prior to treatment and provide copies if applicable.
13. List the number and type of employees expected for the next 12 months. Indicate if you will use independent contractors and if those individuals will have proper licensing.
14. Answer questions regarding required insurance coverage for contracted staff and employed medical professionals.
15. Confirm whether operators of the cryotherapy units undergo training prior to use.
16. Provide details if you sell or rent equipment and if applicable, list the types and gross receipts from each.
17. Complete the building information section, including the total square footage and any relevant updates to the building.
18. Fill in property information, including the total value of cryotherapy units and other assets.
19. Provide business information such as the number of employees, estimated payroll, and how client information is stored.
20. Indicate whether you process payments online and if you would like a cyber liability quote.
21. In the additional information section, provide any extra details that may be needed.
22. Finally, review your application for accuracy. Save your changes, and download, print, or share the completed form as necessary.

Complete your insurance application online today to ensure your business is properly covered.