Serbia

Serbia

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

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"