UNDERWRllTEN IN FEDERAL INSURANCE COMPANY OR VIGILANT INSURANCE COMPANY 2025

1. Click ‘Get Form’ to open it in the editor.
2. Begin with the 'General Information' section. Fill in the date of incorporation, organization name, address, city, state, and zip code accurately.
3. In the 'Effective Date Requested' field, specify the desired start date for your coverage.
4. Proceed to 'Operations'. Describe the nature of your business and indicate if you have tax-exempt status as defined by the I.R.S. If there are any disputes regarding this status, provide details.
5. Complete the 'Employment Information' section by stating the total number of employees and how many were terminated in the last year. Confirm if you have formal hiring and firing procedures.
6. In 'Prior Insurance', list previous coverage details if applicable. Attach a copy of prior applications if required.
7. Answer questions in 'Prior Knowledge' only if there has been no previous coverage. State any known facts that could lead to future claims.
8. Fill out any additional information requested at the end of the form, including financial statements and board member lists.
9. Finally, complete the declarations and signature section. Ensure that all information is accurate before signing.

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