Excel Sheppard Insurance Service and Risk Management Inc. is pleased to announce we are offering Errors & Omissions Liability Insurance with both $2,000,000 and $5,000,000 limits. Now includes increased coverage Disciplinary Action - Legal Expense $50,000.

If you already have a Pharmacist Errors & Omissions policy with Sheppard Insurance and wish to renewal , please click on the Renewal Application Form.

 
 

Highlights of Coverage

    • Personal and portable Malpractice Liability Insurance coverage with a limit of $2,000,000 or $5,000,000
    • Pharmacists - $195 premium for $2,000,000, $355.00 for $5,000,000 limit of liability
    • Technicians - $125 premium for $2,000,000, $175 for $5,000,000 limit of liability
    • Pharmacists - The definition of Insured includes indemnification for students and interns working under the supervision of a clinical pharmacist and will extend coverage to a retired certificate holder.
    • Pharmacists - the definition of Insured Services will include 'acting within the scope of the insured's duties as a pharmacist' including the provision of opinions and counseling.
    • Additional legal expense of $50,000 is provided when called upon to appear before a disciplinary committee.
    • The insurance will apply to claims arising from law suits in Canada and the United States.
    • No membership fee is required to access this insurance program.
    • Occurrence Based Coverage.
 

How to Apply

  • Print application, sign, complete payment option (Applications forms below) - fax to 780-425-0689
  • OR Print application, sign, complete payment option - scan and email to Stan or Samantha.
  • Applications can take up to 20 business days to be processed. You will receive your proof of insurance once it has been completed.

*Coverage is not bound until payment is received.
*For additional copies of your certificate a $15.00 service fee will be charged.

Any questions can be directed on one of our program administrators

Samantha - Direct Line - 780-784-2580 samantha@sheppardinsurance.com
Stan - Direct Line - 780-784-2572 stan@sheppardinsurance.com




 

Application Forms - Pharmacist - Pharmacy Technician

Choose the province you reside in:

Application Forms - Pharmacist New/Renewal - BC

E&O Pharmacist Application New

Click on the link below to open the "E&O Pharmacist Application New - PDF" for New Applicants

E&O Pharmacist Application Renewal

Click on the link below to open the "E&O Pharmacist Application Renewals - PDF" for Renewals

Application Forms - Pharmacy Technician New/Renewal - BC

E&O Pharmacy Technician New

For New Applicants Click on the link below to open the "E&O Pharmacy Technician New Application - PDF"

E&O Pharmacy Technician Renewal

For Renewals click on the link below to open the "E&O Pharmacy Technician Renewal Application - PDF"

Application Forms - Pharmacy New/Renewal - AB

E&O Pharmacist Application New

New Applicants click on the link below to open the "E&O Pharmacist Application New - PDF"

E&O Pharmacist Application Renewal

For Renewals click on the link below to open the "E&O Pharmacy Renewal Application - PDF"

Application Forms - Pharmacy Technician New/Renewal - AB

E&O Pharmacy Technician New

For New Applicants Click on the link below to open the "E&O Pharmacy Technician New Application - PDF"

E&O Pharmacy Technician Renewal

For Renewals click on the link below to open the "E&O Pharmacy Technician Renewal Application - PDF"

Application Forms - Pharmacy New/Renewal - SK

E&O Pharmacist Application New

New Applicants click on the link below to open the "E&O Pharmacist Application New - PDF"

E&O Pharmacist Application Renewal

For Renewals click on the link below to open the "E&O Pharmacy Renewal Application - PDF"

Application Forms - Pharmacy Technician New/Renewal - SK

E&O Pharmacy Technician New

For New Applicants Click on the link below to open the "E&O Pharmacy Technician New Application - PDF"

E&O Pharmacy Technician Renewal

For Renewals click on the link below to open the "E&O Pharmacy Technician Renewal Application - PDF"

Application Forms - Pharmacy - MB

E&O Pharmacist Application New

New Applicants click on the link below to open the "E&O Pharmacist Application New - PDF"

E&O Pharmacist Application Renewal

For Renewals click on the link below to open the "E&O Pharmacy Renewal Application - PDF"

Application Forms - Pharmacy Technician New/Renewal - MB

E&O Pharmacy Technician New

For New Applicants Click on the link below to open the "E&O Pharmacy Technician New Application - PDF"

E&O Pharmacy Technician Renewal

For Renewals click on the link below to open the "E&O Pharmacy Technician Renewal Application - PDF"

Application Forms - Pharmacy New/Renewal - ONT

E&O Pharmacist Application New

New Applicants click on the link below to open the "E&O Pharmacist Application New - PDF"

E&O Pharmacist Application Renewal

For Renewals click on the link below to open the "E&O Pharmacy Renewal Application - PDF"

Application Forms - Pharmacy Technician New/Renewal  - ONT

E&O Pharmacy Technician New

For New Applicants Click on the link below to open the "E&O Pharmacy Technician New Application - PDF"

E&O Pharmacy Technician Renewal

For Renewals click on the link below to open the "E&O Pharmacy Technician Renewal Application - PDF"

Application Forms - Pharmacy New/Renewal - NB

E&O Pharmacist Application New

New Applicants click on the link below to open the "E&O Pharmacist Application New - PDF"

E&O Pharmacist Application Renewal

For Renewals click on the link below to open the "E&O Pharmacy Renewal Application - PDF"

Application Forms - Pharmacy Technician New/Renewal - NB

E&O Pharmacy Technician New

For New Applicants Click on the link below to open the "E&O Pharmacy Technician New Application - PDF"

E&O Pharmacy Technician Renewal

For Renewals click on the link below to open the "E&O Pharmacy Technician Renewal Application - PDF"

Application Forms - Pharmacy New/Renewal - NS

E&O Pharmacist Application New

New Applicants click on the link below to open the "E&O Pharmacist Application New - PDF"

E&O Pharmacist Application Renewal

For Renewals click on the link below to open the "E&O Pharmacy Renewal Application - PDF"

Application Forms - Pharmacy Technician New/Renewal - NS

E&O Pharmacy Technician New

For New Applicants Click on the link below to open the "E&O Pharmacy Technician New Application - PDF"

E&O Pharmacy Technician Renewal

For Renewals click on the link below to open the "E&O Pharmacy Technician Renewal Application - PDF"

Application Forms - Pharmacy New/Renewal - P.E.I

E&O Pharmacist Application New

New Applicants click on the link below to open the "E&O Pharmacist Application New - PDF"

E&O Pharmacist Application Renewal

For Renewals click on the link below to open the "E&O Pharmacy Renewal Application - PDF"

Application Forms - Pharmacy Technician New/Renewal - P.E.I.

E&O Pharmacy Technician New

For New Applicants Click on the link below to open the "E&O Pharmacy Technician New Application - PDF"

E&O Pharmacy Technician Renewal

For Renewals click on the link below to open the "E&O Pharmacy Technician Renewal Application - PDF"

Application Forms - Pharmacy New/Renewal - NFD

E&O Pharmacist Application New

New Applicants click on the link below to open the "E&O Pharmacist Application New - PDF"

E&O Pharmacist Application Renewal

For Renewals click on the link below to open the "E&O Pharmacy Renewal Application - PDF"

Application Forms - Pharmacy Technician New/Renewal - NFD

E&O Pharmacy Technician New

For New Applicants Click on the link below to open the "E&O Pharmacy Technician New Application - PDF"

E&O Pharmacy Technician Renewal

For Renewals click on the link below to open the "E&O Pharmacy Technician Renewal Application - PDF

Application Forms - Pharmacy New/Renewal - NWT

E&O Pharmacist Application New

New Applicants click on the link below to open the "E&O Pharmacist Application New - PDF"

E&O Pharmacist Application Renewal

For Renewals click on the link below to open the "E&O Pharmacy Renewal Application - PDF"

Application Forms - Pharmacy Technician New/Renewal - NWT

E&O Pharmacy Technician New

For New Applicants Click on the link below to open the "E&O Pharmacy Technician New Application - PDF"

E&O Pharmacy Technician Renewal

For Renewals click on the link below to open the "E&O Pharmacy Technician Renewal Application - PDF

Application Forms - Pharmacy New/Renewal - NUNAVUT

E&O Pharmacist Application New

New Applicants click on the link below to open the "E&O Pharmacist Application New - PDF"

E&O Pharmacist Application Renewal

For Renewals click on the link below to open the "E&O Pharmacy Renewal Application - PDF"

Application Forms - Pharmacy Technician New/Renewal - NUNAVUT

E&O Pharmacy Technician New

For New Applicants Click on the link below to open the "E&O Pharmacy Technician New Application - PDF"

E&O Pharmacy Technician Renewal

For Renewals click on the link below to open the "E&O Pharmacy Technician Renewal Application - PDF

*We are not currently writing this program in Quebec* Printable Forms (PDF) - Application forms and document can be opened in your browser. Some Application forms can be filled out using your keyboard and then printed for mailing or faxing. (Do not e-mail your applications)

Dedicated to providing quality insurance products

We aim to establish a long-term partnership based on respect and trust with clients, suppliers and employees.