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WWW.USES.net PH: 440.888.7300 FX: 440.888.7380 Brokers USES.net APPLICATION FOR PROFESSIONAL LIABILITY INSURANCE FOR ANESTHESIOLOGISTS (CLAIMS MADE BASIS) APPLICANT S INSTRUCTIONS: 1. If you have
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An application for professional liability is a form that individuals or businesses complete in order to apply for insurance coverage to protect against claims of professional negligence or errors and omissions in their professional services.
Professionals who provide professional services such as doctors, lawyers, accountants, architects, engineers, and consultants are often required to file an application for professional liability insurance.
To fill out an application for professional liability, individuals or businesses need to provide information regarding their professional qualifications, types of services performed, previous claims or lawsuits, and other relevant details as required by the insurance provider.
The purpose of an application for professional liability is to assess the risk associated with an individual or business's professional services and determine the coverage and premium rates for the insurance policy.
The information that must be reported on an application for professional liability may include personal or business contact details, professional credentials, description of services provided, history of claims or lawsuits, risk management practices, and any other relevant information as requested by the insurance provider.
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