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How to use or fill out and submit the Medical Professional Liability Insurance Application

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by entering your personal information, including your name, date of birth, and contact details in the designated fields.
  3. In the 'Coverage Requested' section, select your desired effective date and limits of liability by checking the appropriate boxes.
  4. Provide details about your practice location, including the practice name and address. Ensure to indicate if this is where you spend most of your practice time.
  5. Complete any additional information required regarding your professional history and current practices. Be thorough in answering yes/no questions for clarity.
  6. Review all entered information for accuracy before submitting. Once satisfied, click on ‘Submit’ to send your application electronically.

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Britannica Dictionary definition of SUBMISSION. 1. a : an act of giving a document, proposal, piece of writing, etc., to someone so that it can be considered or approved : an act of submitting something. [noncount] Im preparing the results of my study for submission to a medical journal.
: to yield oneself to the authority or will of another : surrender. b. : to permit oneself to be subjected to something.
The most common uses of the term submit in a legal sense include: To submit evidence means to present or introduce it. In the context of adjudication, submit means to finish presenting evidence or an argument in a hearing or trial and give the matter over to the judge for a decision.
presented, sent, or handed in for the consideration, decision, or approval of others, as an application, proposal, report, etc.. All submitted requests will be time-stamped and processed in the order in which they are received.