Guatemala

Guatemala Clinical Trial Quote Request

Guatemala IVE Formulario

Yes

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• Clinical Trial Quote Request
• Protocol and Informed Consent Form in English and Spanish
• Protocol Title in Spanish
• Local Legal Representative details (Contact Person Name, Address, Telephone Number and E-Mail Address)
• Guatemala IVE Formulario must be completed by a Guatemalan entity/local legal representative
• No refund for policy cancellation

Indonesia Clinical Trial Quote Request

Yes

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• Clinical Trial Quote Request
• Protocol and Informed Consent Form in English
• Site List in English, inclusive of Full Name(s) of Principal Investigator(s), the Hospital(s)/Site Location(s) Address(es) with Area Code
• Local Representative/CRO details (Contact Person Name, Address, Telephone Number and E-Mail Address)

- Premium payment and payment confirmation required PRIOR to release of certificate
- No refund for policy cancellation

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