Ecuador

Ecuador Clinical Trial Quote Request

Ecuador Know Your Customer Form

Yes

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• Clinical Trial Quote Request
• Protocol and Informed Consent Form in English
• Protocol Title in Spanish
• Local Legal Representative/CRO details (Contact Person Name, Telephone Number and E-mail Address) and RUC number (Ecuadorian Tax ID)
• No refund for policy cancellation

- CRO or Local Legal Representative must provide the completed "Know Your Customer Form"

Pakistan Clinical Trial Quote Request

Yes

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• Clinical Trial Quote Request
• Protocol and Informed Consent Form in English
• Local CRO/Legal Representative details (Contact Person Name, Address, Telephone • Number and E-Mail Address), Tax Number and Sales Tax Number

The Legal Representative is responsible for providing the following:
• Tax number and sales tax number
• Board resolution for insurance purposes
• List of members/directors
• Identity document of the person authorized to deal with the insurance carrier

- Pakistan requires payment and wire payment confirmation PRIOR to release of documentation
- Sponsor pays the carrier directly once invoice is provided
- No refund for policy cancellation

Quote process is VERY slow in Pakistan due to fronting and reinsurance carriers. Submission should be made to Newfront at least 45 days before documents are required.