Ethiopia

Clinical Trial Application	Ethiopia Clinical Trial Quote Request Clinical Trials Quote Request
Mandated Coverage	Unknown. Please confirm with CRO if local admitted clinical trial insurance is required.
Standard Limits	Unknown
Tail Coverage	Unknown
Data Required to Quote	• Clinical Trial Quote Request • Protocol and Informed Consent Form in English • Local CRO details (Contact Person Name, Telephone Number and E-mail Address) • Premium payment is due and payable in advance of receiving policy documents • No refund for policy cancellation

Clinical Trial Application	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
Mandated Coverage	Unknown
Standard Limits	n/a
Tail Coverage	n/a
Data Required to Quote	• Clinical Trial Quote Request • Protocol and Informed Consent Form in English • Completed Persona Natural and Persona Juridica applications to be completed by the Local Legal Representative/CRO • No refund for policy cancellation Please allow additional time for Panama documentation due to completion of applications