Ecuador

Ecuador Clinical Trial Quote Request

Ecuador Know Your Customer Form

Yes

n/a

n/a

• 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"

Tanzania Clinical Trial Quote Request

Clinical Trials Quote Request

Yes

n/a

n/a

THE PROCESS IN TANZANIA IS SLOW. PLEASE ALLOW UP TO TWO MONTHS FOR DOCUMENTS TO BE PROCESSED. Please provide all documentation outlined below otherwise the process is further delayed.

• Clinical Trial Quote Request
• Protocol and Informed Consent Form in English
• Certificate of Incorporation of Sponsor
• Sponsor Business License
• Tax Identification Number (TIN) number (FEIN will suffice)

- Premium payment required in advance of receipt of policy documents
- No refund for policy cancellation