Ecuador

Ecuador

Ecuador

Ecuador

Clinical Trial Application

Ecuador Clinical Trial Quote Request

Ecuador Know Your Customer Form

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/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"

Serbia

Serbia

Clinical Trial Application

Serbia Clinical Trial Quote Request

Clinical Trials 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 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