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Professional Indemnity Proposal Form Template for Pakistan

A comprehensive proposal form designed for professionals and organizations in Pakistan seeking professional indemnity insurance coverage. This document complies with Pakistan's Insurance Ordinance 2000 and SECP Insurance Rules 2017, serving as the foundation for establishing professional liability coverage. The form captures detailed information about the proposer's professional practice, risk profile, claims history, and desired coverage levels, enabling insurers to accurately assess and price the risk while ensuring compliance with local regulatory requirements.

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What is a Professional Indemnity Proposal Form?

The Professional Indemnity Proposal Form is a crucial document used in Pakistan's insurance market for professionals and organizations seeking protection against claims arising from professional services. This form, regulated under Pakistan's Insurance Ordinance 2000 and SECP guidelines, serves as the primary tool for insurers to evaluate professional liability risks and determine appropriate coverage terms. It should be completed when establishing new professional indemnity coverage or renewing existing policies, containing detailed sections about professional qualifications, business operations, risk management procedures, and claims history. The document is designed to capture all relevant information needed for underwriters to assess risk exposure while ensuring compliance with local insurance regulations and professional standards.

What sections should be included in a Professional Indemnity Proposal Form?

1. Personal/Entity Information: Basic details of the proposer including name, address, professional registration numbers, and business structure

2. Professional Practice Details: Information about the nature of professional services, years in practice, and geographical scope of operations

3. Financial Information: Details of annual revenue, fee income, and largest contracts

4. Staff Information: Details of qualified staff, their qualifications, and experience

5. Risk Management: Information about quality control procedures, risk management systems, and professional standards compliance

6. Claims History: Details of past claims, circumstances that may give rise to claims, and previous insurance history

7. Coverage Requirements: Desired level of indemnity, deductible preferences, and specific coverage needs

8. Declaration: Formal statement confirming the accuracy of information provided and understanding of obligations

9. Privacy Statement: Information about how the provided data will be used and protected

10. Signature Section: Space for authorized signature, date, and company stamp if applicable

What sections are optional to include in a Professional Indemnity Proposal Form?

1. Specific Professional Questions: Additional questions specific to certain professions (e.g., medical, legal, engineering) - used when the proposer belongs to these specific professional categories

2. International Operations: Details about international work and jurisdiction - included when the professional operates across borders

3. Subcontractor Information: Information about subcontractors and their insurance - required when subcontractors are used

4. Cyber Risk Extension: Questions related to cyber security and digital risks - included when digital services are part of the professional practice

5. Project-Specific Information: Detailed information about specific high-value or high-risk projects - used for professionals handling such projects

6. Partnership/Directors Coverage: Additional details for partnership or director coverage - required for firms with multiple partners/directors

What schedules should be included in a Professional Indemnity Proposal Form?

1. Schedule A - Professional Qualifications: Detailed list of professional qualifications, certifications, and memberships

2. Schedule B - Claims Information: Detailed breakdown of past claims and circumstances

3. Schedule C - Fee Income Breakdown: Detailed breakdown of fee income by professional service type

4. Appendix 1 - Risk Management Procedures: Detailed documentation of risk management protocols and procedures

5. Appendix 2 - Staff CVs: Professional CVs of key staff members

6. Appendix 3 - Supporting Documents Checklist: List of required supporting documents including professional certificates, registration documents, and financial statements

Authors

Alex Denne

Head of Growth (Open Source Law) @ tiktok成人版 | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents

Jurisdiction

Pakistan

Document Type

Insurance Form

Sector

Insurance

Cost

Free to use

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