Burkina Faso

Clinical Trial Application	Please submit an email request to our certificate team requesting a certificate at: techcertrequest@newfront.com and CC your Newfront Team. Include the following in your email: o Include in your email the following: RE: Protocol #, Country o Attach the Protocol and Informed Consent Form (ICF) documents, if not already provided to Newfront
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 • Completed Persona Natural and Persona Juridica applications to be completed by the Local Legal Representative/CRO • No refund for policy cancellation Please allow additional time for Panama documentation due to completion of applications