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11. State your estimated amounts of total revenue Fee for Service or Salary Do your product sales exceed 250 000 per year Last 12 Months Estimate for next 12 months If yes state your sales EDUCATION AND LICENSE INFORMATION Name of institution where you received your naturopathic training Year/Month Graduated List all designations and associated services you wish to have covered i.e. ND NMD LAc RPh ND License List the states where you will practice Do you have a DEA license Yes If yes what...
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How to fill out claims made policy form

01
Read the entire claims made policy form carefully to understand the requirements.
02
Collect all the necessary information and documentation for filling out the form.
03
Start by providing your personal details such as name, address, contact information, etc.
04
Fill in the policy details including the policy number, coverage period, and any applicable endorsements.
05
Provide accurate and detailed information about the claim being made, including the date of occurrence and description of the incident.
06
Attach any supporting documents or evidence related to the claim, such as invoices, medical records, or photos.
07
Review the filled form to ensure all information is correct and complete.
08
Submit the completed claims made policy form to the designated insurance company or agent.
09
Keep a copy of the filled form for your records.

Who needs claims made policy form?

01
Professionals who provide services that may be subject to potential claims or lawsuits.
02
Businesses or individuals looking for coverage against claims that may arise in the future.
03
Organizations operating in industries that often face litigation, such as healthcare, legal, or construction.
04
Consultants, architects, engineers, and other service providers who may be required to have professional liability insurance.
05
Contractors or subcontractors working on projects where claims may arise even after the project is completed.
06
Any individual or entity seeking protection against claims that may not be covered by occurrence-based policies.
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A claims made policy form is a type of insurance policy where coverage is only provided for claims made during the policy period.
The policyholder or insured party is required to file the claims made policy form.
To fill out a claims made policy form, the insured party must provide details about the claim, including the date it was made and the nature of the claim.
The purpose of a claims made policy form is to ensure that insurance coverage is provided for claims made during the policy period, even if the claim is filed after the policy has expired.
The information that must be reported on a claims made policy form includes details about the claim, the policyholder, and any relevant policy coverage.
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