Applicant NameExtract the applicant/business name...
DBA NameExtract DBA (doing business as) name if present...
Mailing AddressExtract the mailing address...
Business PhoneExtract the business phone number...
FEINExtract the Federal Employer ID Number...
Business TypeExtract entity type: Corporation, LLC, Partnership...
Year Business StartedExtract the year business was established...
Business DescriptionExtract the description of operations...
SIC/NAICS CodeExtract SIC or NAICS code...
Annual RevenueExtract annual gross revenue/sales...
Number of EmployeesExtract total number of employees...
Coverage RequestedList types of coverage being requested...
Prior InsuranceExtract prior insurance carrier information...
Loss HistoryExtract any loss history information...