Dominican Republic

Dominican Republic Clinical Trial Quote Request

Dominican Republic Due Diligence Form - Spanish (Persona Juridica)

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

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• 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

Serbia Clinical Trial Quote Request

Clinical Trials Quote Request

Yes

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• Clinical Trial Quote Request
• Protocol and Informed Consent Form in English
• Protocol Title in Serbian
• Site List in Serbian and English, inclusive of Full Name(s) of Principal Investigator(s), the Hospital(s)/Site Location(s) Address(es) with Area Code

Policy and certificate typically take up to 1 month for carriers to process so please note this time frame in the submission process. Submission should be made to Newfront at least one month before documents are required.
- A scanned countersigned document is required within 14 days of policy inception.
- In addition, wet-inked signed originals are to be mailed to carrier directly to satisfy local requirements
- Please note that in the event of policy cancellation or non-renewal the premium is 100% fully earned. No refund for policy cancellation