Bangladesh

Clinical Trial Application	Bangladesh Clinical Trial Quote Request
Mandated Coverage	Unknown
Standard Limits	n/a
Tail Coverage	n/a
Data Required to Quote	• Clinical Trial Quote Request • Protocol and Informed Consent Form in English • Provide local CRO contact information (Name, address, email, telephone number) Bangladesh requires payment and wire payment confirmation PRIOR to release of documentation. No refund for policy cancellation.

Clinical Trial Application	Chile Clinical Trial Quote Request
Mandated Coverage	Yes
Standard Limits	n/a
Tail Coverage	n/a
Data Required to Quote	• Clinical Trial Quote Request • Protocol and Informed Consent Form in English • Protocol Title in Spanish • Local Legal Representative details (Contact Person Name, Address, Telephone Number, E-Mail Address) and RUT number • No refund for policy cancellation Please allow 2 weeks for receipt of documents.