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Please note, Darwin can quote from most competitors’ applications. However, for primary coverage we require a completed, signed Darwin application prior to binding a policy. Get the latest forms below.

Errors and Omissions (E&O) Liability Insurance:

Health Care and Medical Professional Classes:
Clinical Research Organizations
Health Care Consultants
Health Care Facilities and Organizations (Medical Professional)
Managed Care Organizations
Miscellaneous Medical Facilities
Physicians and Small Physician Groups (Under 10)

Non-medical Professional Classes:
Insurance-related Classes
Lawyers
Miscellaneous Professional Classes
Tech//404^sm : Technology and Information Liability

Clinical Research Organizations
Application:
Application (h9010) edition date 8/2007

Health Care Consultants
Application:
Application (e6010) edition date 6/2005

Renewal Application:
Renewal Application (e6010 REN) edition date 9/2005

Specimen Policy:
Policy Specimen (E6000) edition date 8/2005

Health Care Facilities and Organizations (Medical Professional)
Application:
Application (h5010) edition date 8/2005

Specimen Policies:
Policy Specimen, Occurrence GL (H5000) edition date 6/2005
Policy Specimen, Claims Made GL (H6000) edition date 6/2005
Policy Specimen, Umbrella (H7000) edition date 6/2005

Insurance-related Classes
Applications:
Application (e1010) edition date 6/2005
Application, TPA Supplemental (e1010 TPA) edition date 6/2005
Application, MGA Supplemental (e1010 MGA) edition date 6/2005
Application, Claims Supplemental (e1010 Supp) edition date 6/2005

Renewal Application:
Renewal Application (e1010 REN) edition date 6/2006

Specimen Policies:
Policy Specimen (E1000) edition date 6/2005
Excess Policy Specimen (E2000) edition date 6/2004

Lawyers
Applications:
LPL Application (e4010) edition date 4/2007
LPL Renewal Application (e4010) edition date 4/2007
LPL Renewal Supplemental Application (e4010) edition date 4/2007
LPL Entertainment Supplement (e4010 ENT) edition date 12/2003
LPL Environmental Supplement (e4010 ENV) edition date 2/2004
LPL Financial Institutions Supplement (e4010 FI) edition date 11/2005
LPL Intellectual Property Supplement (e4010 IP) edition date 12/2003
LPL New Attorney Supplement (e4010 NEW) edition date 9/2005
LPL Office Expense Supplement (e4010 OES) edition date 6/2006
LPL Outside Interests Supplement (e4010 OI) edition date 11/2007
LPL Plaintiff Supplement (e4010 PLN) edition date 7/2004
LPL Real Estate Practice Supplement (e4010 RE) edition date 1/2005
LPL Securities Supplement (e4010 SEC) edition date 12/2003
LPL Supplemental Claim Information (e4010 SUPP) edition date 2/2008

Specimen Policy:
LPL Policy Specimen (E4000) edition date 2/2008

Managed Care Organizations
Application:
Application (h1010) edition date 6/2005

Renewal Application:
Renewal Application (h1010 REN) edition date 6/2005

Specimen Policies:
Duty to Defend Policy Specimen (H2000) edition date 6/2005
Indemnity Policy Specimen (H1000) edition date 6/2005

Miscellaneous Medical Facilities
Applications:
Application (h6010) edition date 6/2005
Home Health Services Supplement (h6010 HSS) edition date 2/2005
Imaging/X-ray Supplement (h6010 IMG) edition date 1/2005

Specimen Policies:
Policy Specimen, Occurrence GL (H5000) edition date 6/2005
Policy Specimen, Claims Made GL (H6000) edition date 6/2005
Policy Specimen, Umbrella (H7000) edition date 6/2005

Miscellaneous Professional Classes
Applications:
Application (e3010) edition date 6/2005
Employment Agency/Executive Search Supplemental (e3010 Supp1) edition date 6/2003
Interior Design/Decoration Supplemental (e3010 Supp2) edition date 6/2003
Premium Finance Company Supplemental (e3010 Supp3) edition date 6/2003
Real Estate Operations Supplemental (e3010 Supp4) edition date 6/2003
Travel Agency/Tour Operator Supplemental (e3010 Supp5) editiona date 6/2003
Escrow Operations Supplemental (e3010 Supp6) edition date 6/2003
Graphic Designer Supplemental (e3010 Supp7) edition date 6/2003
Mortgage Broker/Banker Supplemental (e3010 Supp8) edition date 6/2003
Public Relations/Marketing Firms Supplemental (e3010 Supp9) edition date 6/2003

Specimen Policies:
Policy Specimen (E3000) edition date 6/2005
Excess Policy Specimen (E2000) edition date 6/2004

Physicians and Small Physician Groups (under 10)
Applications:
Application (h8010) edition date 6/2005
Application for Corporations and Partnerships (h8010 CRP) edition date 8/2005

Tech//404^sm for Technology Providers and Technology Users
Application:
Application (e8010) edition date 8/2005

Coverage may not be available in all states. The downloadable applications are provided for licensed agents and brokers only. Policies, applications, and related information are provided solely for informational purposes. Coverages will vary depending on individual state law requirements and may be unavailable in some states. The policies, applications, and related information are subject to change without prior notice. Coverage descriptions are summaries only, and coverage is determined by the terms and conditions of the policies as issued. Darwin is not responsible for any manipulated, altered, revised, or printed versions of the information provided within this web site or linked web sites.