COVER-PRO
SM
APPLICATION
PROFESSIONAL ORGANIZER SUPPLEMENT
1. Full name of the Applicant Firm:
2. What percentage of the Applica
nt’s gross ann
ual revenue comes from the following activities:
(MUST TOTAL 100%)
% Personal % Referral services
% Commercial % Other:(specify)
% Relocation services % Other:(specify)
% Job assistance
3. Is the Applicant a member of the National Association of Professional Organi
zers (NAPO)?
Yes No
4. Is the Applicant certified with the Board of Certificati
on for Professional Organiz
ers (BCPO)? Yes No
5. What are the Applicant’s policies / proce
dures with regard to the destructio
n or disposal of any client property or
information?
ADDITIONAL INFORMATION
This section may be used to provide additional information to
any question on this application. Please
identify the question number to which you are referring.
I understand that the information submitted herein becomes a part of my Philadelphia Insurance
Companie
s Cover-Pro
sm
application and is subject to the same conditions as stated on the application.
Name (Please Print) Title (Must be Principal, Partner or Officer
)
__________________________________________
Signature Date
PI-PLSP-POSUPP 08/
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