Canada

Canada

Canada

Canada

Clinical Trial Application

n/a

Mandated Coverage

No

Standard Limits


Provided by US Master Product Liability policy.

(If your study is being conducted in Quebec, please check with your CRO to confirm coverage under the US Master Product Liability policy is acceptable)

Tail Coverage

n/a

Data Required to Quote

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

o If your CRO is requiring a local policy in Canada, please submit a Clinical Trial Liability Quote request and provide the estimated patient split per province for tax calculations.

Dominican Republic

Dominican Republic

Clinical Trial Application

Dominican Republic Clinical Trial Quote Request

Dominican Republic Due Diligence Form - Spanish (Persona Juridica)

Mandated Coverage

Yes and No. Clinical Trial Insurance is not compulsory, however, it is made mandatory as part of the MoH submission.

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
• Legal Representative in Dominican Republic or Local CRO details (Contact Person Name, Address, Telephone Number and E-Mail Address)
• No refund for policy cancellation

Due to strict Anti-Money Laundering laws, the Legal Representative (typically your local CRO) will be responsible for providing the following documents:
(i) Due Diligence Form, available in Spanish only (to be completed by US Sponsor and each named insured, including additional insureds)
(ii) Fiscal ID certificate
(iii) Mercantile Registry
(iv) ID of the person acting on behalf of the Legal Representative
(v) Certificate of final beneficiary

Process in the Dominican Republic is SLOW, so please allow for additional time - minimum 1 month before receipt of documentation after binding coverage