TripleGuard™ Insurance Application

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Information you will need to complete this application:

Personal information
Any previous TripleGuard™ claims information

To get started let us know what insurance you are applying for.

What kind of TripleGuard™ Insurance are you looking for?*

TripleGuard™ Insurance AssociateTripleGuard™ Insurance for Practice OwnersBuilding Insurance under TripleGuard™ InsuranceCoverage Increase in TripleGuard™ InsuranceNo-Cost* TripleGuard™ Insurance Activation Form

Do you plan to do extensive renovations in your practice within the next 6 months and the practice is currently unoccupied/vacant?*

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Please contact one of our advisors at 1-800-561-9401, as the TripleGuard Insurance is designed for operating dental practices and may not be the appropriate coverage for your current circumstance.

Does building you are applying to insure have aluminum or knob and tube wiring and/or galvanized and polybutylene plumbing.*

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Sorry we are unable to insure this building. If you have any questions please contact CDSPI Advisory Services Inc. at 1.800.561.9401 or insurance@cdspi.com

*Coverage continues at no cost until December 31st of your graduation year. Coverage must be activated by December 31st of your graduation year and you will have to start paying premiums then. You are eligible to receive a 50% discount on the regular premiums for the three calendar years following graduation.

Email*

Confirm email address

Province*

Language Preference*

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