UNDERWRllTEN IN FEDERAL INSURANCE COMPANY OR VIGILANT INSURANCE COMPANY 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by filling out the 'General Information' section. Enter the Date of Incorporation, Organization name, Address, City, State, and Zip code accurately.
3. In the 'Effective Date Requested' field, specify the date you wish your coverage to begin.
4. Proceed to the 'Operations' section. 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 any necessary documents as instructed.
7. Fill out 'Prior Knowledge' only if there has been no previous coverage. State any known facts that could lead to future claims.
8. Review and complete the 'Declarations and Signature' section. Ensure all information is accurate before signing.

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