Chubb Not-for-Profit Insurance Application Form
This document is a new business application for not-for-profit organizations seeking coverage from Chubb. It outlines necessary information and requirements for submission. Use this application to obtain necessary liability coverage for your organization.
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How do I fill this out?
To fill out this application, gather all necessary information regarding your organization and its employees. Ensure that you review each section thoroughly before entering your details. Pay attention to the specific coverage requested and any disclosures required.

How to fill out the Chubb Not-for-Profit Insurance Application Form?
1
Gather all necessary organizational information.
2
Provide accurate details regarding your employees.
3
Select the appropriate coverage sections needed.
4
Review the application for completeness.
5
Submit the application as instructed.
Who needs the Chubb Not-for-Profit Insurance Application Form?
1
Nonprofit organizations applying for insurance coverage.
2
Organizations with up to 500 employees that require liability protection.
3
Tax-exempt entities seeking to establish their coverage needs.
4
Board members of nonprofits ensuring protection under liability terms.
5
Organizations planning to restructure their operational frameworks.
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What are the instructions for submitting this form?
To submit the completed form, email it to submissions@chubb.com or fax it to (555) 123-4567. You can also submit online through the Chubb portal at www.chubb.com/portal. For physical submissions, mail the completed application to Chubb Insurance, 202B Hall's Mill Road, Whitehouse Station, NJ 08889. We advise double-checking all entries for accuracy before sending.
What are the important dates for this form in 2024 and 2025?
For 2024, all applications should be submitted by July 1st to ensure coverage by the end of the fiscal year. In 2025, applications must be filled by June 30th to maintain continuous coverage. Keep these dates in mind when preparing your submission.

What is the purpose of this form?
The purpose of this form is to provide not-for-profit organizations with a structured method to apply for liability insurance coverage from Chubb. It aims to gather all pertinent information required for underwriting and risk assessment. This ensures that organizations are adequately protected against potential claims and liabilities.

Tell me about this form and its components and fields line-by-line.

- 1. Industry Group: The specific sector or niche your organization operates in.
- 2. Applicant's Principal Address: The primary address where the organization is located.
- 3. Year Established: The year the nonprofit organization was founded.
- 4. Tax-Exempt Status: Confirmation of the organization's tax-exempt status under IRS guidelines.
- 5. Requested Coverage: Details on the types and limits of coverage being applied for.
What happens if I fail to submit this form?
Failure to submit this form may lead to a lapse in coverage for the organization. It can expose the organization to potential liabilities that could have been insured against if proper steps were taken.
- Lapsed Coverage: Without timely submission, coverage may not be in place when it's needed.
- Inability to Claim: If not submitted, the organization will not be able to claim damages or settlements.
- Legal and Financial Risks: Ignoring submission can result in serious legal and financial consequences.
How do I know when to use this form?

- 1. New Insurance Application: Use this form when first applying for coverage.
- 2. Policy Renewal: Submit this form to renew existing insurance policies.
- 3. Coverage Adjustments: Apply when there are changes in your organization's structure or needs.
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