1.

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*SECTION A
YOUR PROFILE

Which of the following best describes your position?

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Which best describes your company?

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Have you had any experience of a claim or investigation involving a director of your company?
If 'NO' go to section B.

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In which jurisdiction was the claim brought?

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Was a claim made under the D&O policy?

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Was an indemnity sought from your company?

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*SECTION B
RISKS WHICH YOU FACE

Please choose 5 of the following 12 risks which you consider of greatest significance to your business and its directors:

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*SECTION C
D&O POLICY COVERAGE

Please 5 of the following 10 D&O insurance areas which you consider to be of the greatest importance to your business:

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If you have any further comments please let us know:

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