WAIVER OF SUBROGATION INFORMATION REQUEST - iSurity 2026

1. Click ‘Get Form’ to open the WAIVER OF SUBROGATION INFORMATION REQUEST in the editor.
2. Begin by entering the INSURED NAME and POLICY NUMBER at the top of the form. Ensure these details are accurate as they are crucial for processing your request.
3. Fill in the EFFECTIVE DATE OF WAIVER, selecting a date that aligns with your project timeline.
4. Choose the WAIVER TYPE by marking either SPECIFIC or BLANKET. If opting for a blanket waiver, provide a detailed list of jobs, companies, and project locations from the past six months.
5. Complete the CERTIFICATE HOLDER NAME AND ADDRESS section, ensuring it matches the entity requesting the waiver.
6. Input CONTRACT OR PROJECT NUMBER and LOCATION, including street address and state. This information is essential for identifying your specific project.
7. Describe the JOB DESCRIPTION clearly, outlining duties performed by employees involved in this project.
8. Specify START/COMPLETION DATES and PROJECTED LENGTH OF JOB to give context to your request.
9. Lastly, ensure all payroll records related to this job are kept separately for premium audit purposes as noted in the instructions.

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