AccountantInsurance.net

A Division of Choices Insurance Agency and extension of EandOInsurance.net
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Accountant E&O Quote 
 
To complete our short form application online, please use the below "Accountant Application" button. If you have any questions about the process, coverage, etc. please contact us. 
 
You can also complete the short form below for a quick quote from one of our companies. If you would like us to send you a full application for completion, please contact us.
 
Company Name *
Contact Name *
Contact Phone Number *
Contact Email *
Address *
Current Insurance Carrier
Current Coverage Limit/Requested Limit
Current Retroactive Date
Current Expiration Date
Current Premium
Years of Continuous Coverage
Gross Income for Last Fiscal Year
Estimated Gross Income for this Fiscal Year *
Percentage of Income from Audits
Percentage of Income from Bookkeeping
Percentage of Income from Compilation
Percentage of Income from Fiduciary/Trustee
Percentage of Income from Review
Percentage of Income from SEC
Percentage of Income from Individual Tax
Percentage of Income from Business Tax
Percentage of Income from Other (Percentage/Details)
Number of Owners, Officers, Partners & CPA's *
Number of Non-CPA Employees
Number of Other Employees/Clerical
Please check if firm has ever provided services to financial institution, publicly traded companies or insurance companies?
Please check if there have been any claims in the last 5 years?
Additional Comments
*Required fields. If you do not receive confirmation that we received your information after trying to submit, at least one of the required fields was missed.  Please enter the required information and try submitting again.