WAIVER OF SUBROGATION INFORMATION REQUEST - iSurity 2025

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: 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 for clarity.
7. Describe the JOB DESCRIPTION thoroughly to reflect employee duties accurately.
8. Specify START/COMPLETION DATES and PROJECTED LENGTH OF JOB. Include payroll codes and number of employees (FT/PT) as required.
9. Review all entries for accuracy before saving or exporting your completed form for submission.

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