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ALTERNATE BROKER COVERAGE FORM For the period November 1, 2020, November 1, 2021This form has two parts and part must be completed and signed by both your alternate broker and by the Chair of the
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How to fill out alternate broker coverage form

01
Start by obtaining the alternate broker coverage form from your insurance provider.
02
Fill in your personal information, such as your name, address, and contact details.
03
Provide information about your current insurance policy, including the policy number and coverage details.
04
Indicate the reason for seeking alternate broker coverage and provide any relevant supporting documents.
05
If applicable, enter the details of the broker you wish to add as an alternate broker.
06
Review the completed form for accuracy and sign it.
07
Submit the filled-out form to your insurance provider for processing.
08
Keep a copy of the completed form for your records.

Who needs alternate broker coverage form?

01
Anyone who is already insured and wants to add an alternate broker to their insurance policy needs to fill out the alternate broker coverage form.
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Alternate broker coverage form is a form that allows brokers to provide coverage through an alternate broker in case the primary broker is unable to do so.
Brokers who want to have alternate coverage in place are required to file the alternate broker coverage form.
Fill out the form with accurate information about the alternate broker and the coverage they will provide.
The purpose of alternate broker coverage form is to ensure that coverage is maintained in case the primary broker is unable to provide it.
Information about the alternate broker, the coverage they will provide, and any relevant details must be reported on the alternate broker coverage form.
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