Advisen Corner - Business Information Report

Advisen Short Report

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Advisen Short Report Order Form

*Name
*Phone Number
*Email

*Client/Prospect Name:
*Location:

Litigation & Losses

Please provide examples of Large Losses that affect the following scenarios:

Business & Trade Practices
Cyber
Employment
ERISA
Fiduciary
Products & Services
Professional Practices
Securities
Other

Please provide examples of Large Losses that affect this client's industry

Benchmarking:

Please provide benchmarks (Premium, Limit, Retention) for the following lines:

GL
Umbrella
EPLI
Fiduciary
D&O
Work Comp
Professional Practices
Other

Policy Comparison

Please provide a side by side breakdown of the following two forms:

Form 1
Form 2

From:*
Company:*
E-Mail:*
Phone Number:*
	Please include addition order details here

If you have questions about your report or would like to discuss further refinements not automatically provided in the Advisen Short Report, please email corner@advisen.com

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Please note that a Sales tax rate @ 8.375% applies to all sales within New York State.