Mobile App Developer E&O Insurance Application
1. Applicant Information
Company Name
Contact Person
Email
Phone
Business Address
City
State/Province
Zip/Postal Code
Country
Website
2. Business Details
Legal Entity Type
Sole Proprietor
Partnership
Corporation
LLC
Other
Year Established
Number of Employees
Estimated Annual Revenue
Describe your mobile app development services
Primary Client Industries
3. Insurance Details
Requested Coverage Limit
Requested Deductible
Current Insurance Provider (if any)
Have you had any prior claims or losses?
No
Yes
If yes, please provide details
4. Additional Information
Do you develop apps for third-party clients?
Yes
No
Distribution Platforms (e.g., iOS, Android)
Describe your security and quality control measures
Do you use written contracts with all clients?
Yes
No
Do you use subcontractors?
Yes
No
5. Declarations
I confirm that the above information is accurate and complete.