NOTARY PUBLIC ERRORS & OMISSIONS INSURANCE APPLICATION
ATTENTION
Please carefully read and understand any policy of insurance
that is obtained through this application. Our Notary
Errors and Omissions (E&O) products offer excellent
protection for Notaries, however, the provisions of the
policy extend exclusively to honest errors or omissions
related to official notarial acts. This policy is not
intended to cover any acts unrelated to actual notarial
acts, such as, but not limited to errors made handling
signing documents or other non-notary responsibilities of a
signing agent in relation to real property transactions for
mortgage lenders, title or escrow companies. Please do
not represent this Notary E&O product to be the same as a
Signing Agent E&O policy.
If applying
for $50,000 or $100,000 coverage, please answer the
following:
Will you conduct
document signings in real property transactions for
Mortgage Lenders, Title or Escrow companies (sometimes
referred to as a Signing Agent)?
Yes
No
If yes, do you have other insurance to cover "signing agent"
transactions?
Yes
No
Name of Carrier
Policy Number
Policy Dates
Are you
specifically trained and/or certified to handle signing
documents for Mortgage Lenders, title or escrow companies?
Yes
No
Date Training Completed (mm/dd/yyyy)
Course Name
Date Certified (mm/dd/yyyy)
By Whom
The applicant
hereby warrants that, to the best of his/her knowledge, no
facts currently exist which could reasonably give rise to a
claim against this policy.
Yes, applicant so warrants.
No, provide complete details to Company.
Agent's use only: Obtained and reviewed the above information with the applicant. Date: (mm/dd/yyyy)