Panama

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

Unknown

n/a

n/a

• 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

India Specific Clinical Trial Quote Request

Yes

From 1 to 5 Million USD in aggregate

6 months (up to 1 year available for an additional premium)

• Country-specific Application and Application must be printed and signed PRIOR to binding coverage
• Protocol and Informed Consent Form in English
• A local entity must be named as the Policyholder (Investigator or CRO)

- No refund for policy cancellation
- India requires payment to the carrier PRIOR to release of certificate

To bind coverage:
• provide Permanent Account Number (PAN) of the Local CRO. PAN number is a ten-digit alphanumeric number, issued in the form of a laminated card by the Income Tax Department
• provide Good and Services Tax (GST) number of the Local CRO

Please allow additional time for processing. Please allow at least one month before issuance of policy documents