Practitioners professional liability insurance application 2026

1. Click ‘Get Form’ to open the practitioners professional liability insurance application in the editor.
2. Begin by filling out the General Information section. Enter your complete name as you wish it to appear on the policy, along with your corporate entity or operating name.
3. Provide your practice address (not a P.O. Box) and the date operations began. Select the coverage amount you are requesting, either $1,000,000 or $2,000,000.
4. Indicate the number of patient/client visits and whether you have patients/clients residing outside of Canada. If yes, provide details and revenue percentages.
5. In the Professional Services/Background Information section, specify your specialization, other services offered, qualifications, years of experience, and regulatory body registration number.
6. Complete the Quality Control section by providing financial figures for the last and next 12 months. Confirm if records are kept according to regulatory standards and if quality control procedures are in place.
7. Fill out Previous Insurance/Claims Information by detailing any past professional liability insurance policies and any claims made against you in the last five years.
8. Finally, review and sign the Warranty Statement to confirm that all information is accurate before submitting your application.

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