Cyber Liability Insurance Worksheet

Welcome to UWIB. If you'll take a couple of minutes to empower us, we'll quickly respond with your personalized proposal for Cyber Liability coverage.

We work with seven of the leading Cyber coverage carriers. Each provides FREE cyber threat tools for policyholders.

If you get stuck on a question, just give us a call at 800-378-5554 or an email at helpdesk@uwib.com

Cyber Liability insurance is different than traditional coverage. Cyber Crime is a growing threat to all of us.

Let's Get Started

Is a contractual requirement one of the reasons you want a quote?

What do you project your company’s total sales will be over the next year?

Approximately how many people work at your company?

Describe what your company does or provide the SIC code if that’s easier (you can copy the link under the entry field and find your Industry Classification Code

Find your SIC Code https://www.osha.gov/data/sic-search

Please mark any that may apply or select None apply

Mark all that might live in your company’s data even if only for your own employees or former employees (most companies mark several of these)

Please estimate how many of those records exist in your database?

If you accept credit cards, do you and the processing company comply with the Payment Card Industry Data Security Standard (PCI-DSS)?

Do you occasionally conduct system intrusion and vulnerability testing?

Do you already have Cyber coverage?

Current policy's Expiration Date:

If you don’t have a policy just say N/A

Have you made any prior Cyber claims?

Are you aware of any current threat of a possible claim?

Your company’s name

Organization's Federal Tax ID Number

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Your Name

First NameLast Name

Your Cell #

Area CodePhone Number

Your Email

example@example.com

This worksheet doesn't bind you or us, but it constitutes the information that we'll use to provide the proposals we build for you. Coverage can't be bound until the insurance carrier has given approval in writing, and a premium deposit has been paid by you.

Getting a proposal does not commit you to purchase and does not incur any cost to you. If you wish to proceed, please submit the information to us now.

Today's Date

MonthDayYear