Excel Sheppard Insurance Service and Risk Management Inc. is pleased to announce that we are offering Registered Dietitians Professional Liability Errors and Omissions Insurance with both $2,000,000 and $5,000,000 limits.

Highlights of Coverage

 

PERSONAL AND PORTABLE PROFESSIONAL E&O LIABILITY INSURANCE

** No Association fees to access this program

Annual Program Period is April 1 to April 1

$2,000,000 E&O Limit Cost $200.00
$5,000,000 E&O Limit Cost $245.00
$2,000,000 CGL Limit Cost $100.00

Provincial sales tax has been added on the application for the following provinces - Newfoundland, Manitoba, Saskatchewan, Ontario.

Additional Coverage

    • Criminal Defense up to $100,000.00
    • Disciplinary Defense up to $25,000
    • Additional cost for pretrial or appeal costs up to $250 per day
    • Abused Patient therapy costs up to $10,000 per day
    • Optional purchase of Commercial General Liability for $2,000,000

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 - Dietitians Application - New and Renewals

Choose the province you reside in:


Application Forms - Dietitians New Application - BC

Dietitians Application New

New Applicants click on the link below to open the "Dietitians Application New - PDF"

Dietitians Application Renewal

For Renewals click on the link below to open the "Dietitians Renewal Application - PDF"

Application Forms - Dietitians New Application - AB

Dietitians Application New

New Applicants click on the link below to open the "Dietitians Application New - PDF"

Dietitians Application Renewal

For Renewals click on the link below to open the "Dietitians Renewal Application - PDF"

Application Forms - Dietitians New Application - SK

Dietitians Application New

New Applicants click on the link below to open the "Dietitians Application New - PDF"

Dietitians Application Renewal

For Renewals click on the link below to open the "Dietitians Renewal Application - PDF"

Application Forms - Dietitians New Application - MB

Dietitians Application New

New Applicants click on the link below to open the "Dietitians Application New - PDF"

Dietitians Application Renewal

For Renewals click on the link below to open the "Dietitians Renewal Application - PDF"

Application Forms - Dietitians New Application - ON

Dietitians Application New

New Applicants click on the link below to open the "Dietitians Application New - PDF"

Dietitians Application Renewal

For Renewals click on the link below to open the "Dietitians Renewal Application - PDF"

Application Forms - Dietitians New Application - NB

Dietitians Application New

New Applicants click on the link below to open the "Dietitians Application New - PDF"

Dietitians Application Renewal

For Renewals click on the link below to open the "Dietitians Renewal Application - PDF"

Application Forms - Dietitians New Application - NS

Dietitians Application New

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

Dietitians Application Renewal

For Renewals click on the link below to open the " Dietitians Renewal Application - PDF"

Application Forms - Dietitians New Application - P.E.I

Dietitians Application New

New Applicants click on the link below to open the "Dietitians Application New - PDF"

Dietitians Application Renewal

For Renewals click on the link below to open the " Dietitians Renewal Application - PDF"

Application Forms - Dietitians New Application - NL

Dietitians Application New

New Applicants click on the link below to open the "Dietitians Application New - PDF"

Dietitians Application Renewal

For Renewals click on the link below to open the " Dietitians Renewal Application - PDF"

Application Forms - Dietitians New Application - NWT

Dietitians Application New

New Applicants click on the link below to open the " Dietitians Application New - PDF"

Dietitians Application Renewal

For Renewals click on the link below to open the "Dietitians Renewal Application - PDF"

Application Forms - Dietitians New Application - Nunavut

Dietitians Application New

New Applicants click on the link below to open the "Dietitians Application New - PDF"

Dietitians Application Renewal

For Renewals click on the link below to open the "Dietitians 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.