Simple Quotes - Dental Technician Insurance Application

DENTAL TECHNICIAN - INTACT

Dental Technician's Professional Liability Insurance Application

Note: This insurance program provides coverage for dental technicians registered with the British Columbia College of Dental Technicians. For other coverage options please contact Sonja Blackburn at:

Axis Insurance Managers Inc. 555 Burrard Street, Suite 400 Vancouver, BC V7X 1M8

Direct Line: (604) 629-2671 Toll Free: 1-800-690-7475

Fax: (604) 683-8032 E-mail: sonja.blackburn@axisinsurance.ca

ALL QUESTIONS MUST BE ANSWERED.

Part 1
Applicant Details
Part 2
Professional Services
Part 3
Provided Warranty
Part 4
Disclosure & Consent
Part 5
Application Summary

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