| Clinical Trial Application | Taiwan Clinical Trial Quote Request |
|---|
| Mandated Coverage | |
|---|
| Standard Limits | |
|---|
| Tail Coverage | |
|---|
| Data Required to Quote | Process is slow. Please allow 2-3 weeks for receipt of documents
• Clinical Trial Quote Request • Protocol and Informed Consent Form in English • Local CRO details in English (Contact Person Name, Address, Telephone Number and E-Mail Address) • Certificate of Incorporation of Sponsor • Please confirm with your CRO if they require the sites to be named. If so, please provide the Site List in English, inclusive of Full Name(s) of Principal Investigator(s), the Hospital(s)/Site Location(s) Address(es) with Area Code
- Payment is made directly by Sponsor to Carrier - No refund for policy cancellation |
|---|