Forms

Applications and Other Forms

Please contact us for complete application packages and additional information and requirements.

Tel: (416) 386-1770 Email: mail@prodemnity.com

• NEW Application for Annual Practice Insurance with Guidelines for Completion (First-time applicant)
• RENEWAL Application for Annual Practice Insurance- (Hand Writable)
• RENEWAL Application for Annual Practice Insurance – (Acrobat Fillable)
  • Instructions for Acrobat fillable form (Renewal)
  • Guidelines for Completion (Renewal)
  • Addendum: Pollution Liability Coverage (for Increased Limits-Policy No. 4)
• Spike Up in Annual Practice Limits for a Single Project Application

Payment Forms

• Premium Payment Pre-Authorized Debit (PAD Form)
• Payment Options and My Payment Selection

Claims

• Notification of Claim Form