Update | Business Insurance for Canadian Beauty Care Professionals

Tell Us About Your Services

Number of Employees providing services (including owners)

Full time:	Part time:

Do you have independent contractors:*

Yes
No

Do you want your insurance to cover the contractors while working for you?*

Yes
No

Total Number of Contractors Providing Services?*

Number of Contractors Providing the 10 Services Listed Below?*

Advance Cosmetic Procedures
Electrocoagulation
Electrolysis
Laser/IPL Services
Microdermabrasion
Microneedling
Micropigmentation/Microblading
RF/Radiowave Skin Care
Ultrasound Skin Care
Medical Services, Injections, Acupuncture

Select the services you currently provide:

Acrylic Nails

Acrylic Nails

Aromatherapy

Aromatherapy

Body Wraps – Only insured on attended basis (operator in attendance at all times)

Body Wraps – Only insured on attended basis (operator in attendance at all times)

Chemical Peels - superficial peels only

Chemical Peels - superficial peels only

Is the AHA concentration 30% or less?*

Yes
No

Ear Piercing

Ear Piercing

Electrolysis

Electrolysis

Select all Electrolysis services apply:*

Hair removal
Milia
Ruby points/blood spots
Skin tags
Spider/thread veins
Warts and moles

Details:*

Eyebrow and/or Eyelash Tinting (excludes permanent imbedding, pigmentation or tattooing)

Eyebrow and/or Eyelash Tinting (excludes permanent imbedding, pigmentation or tattooing)

Eyelash Extensions/Perm/Lift

Eyelash Extensions/Perm/Lift

Facials

Facials

Gel Nails

Gel Nails

Hair Styling

Hair Styling

Laser/IPL Services

Laser/IPL Services

Select all Laser/IPL services provided:*

Acne
Broken Capillaries/Blood Vessels
Cellulite Treatment (not weight loss – weight loss is excluded)
Hair Removal
Photo-facials
Pigmentation Treatment (i.e., skin spots, rosacea)
Ruby Points/Blood Spots
Skin Rejuvenation/Tightening
Spider/Thread Veins
Tattoo Removal

Details:*

Have all operators been trained by the manufacturer or distributor of the Laser/IPL Equipment?*

Yes
No

Do your Laser/IPL clients sign and date a waiver before each session?*

Yes
No

Do you keep copies of all client service records and waivers on file for at least 2 years or until your client is at least 20 years old, whichever is later?*

Yes
No

Minimum age of clients for Laser/IPL services?*

If under 18 years old, do parents stay on the premises at all times?*

Yes
No

Do you provide any off site laser treatments?*

Yes
No

Do you loan or rent your Laser/IPL equipment to another technician or salon?*

Yes
No

Do you obtain proof of insurance from the technician or salon using your equipment?*

Yes
No

Do all operators using your equipment have a certificate of training for the equipment from the distributor or manufacturer?*

Yes
No

Who is responsible for transporting the equipment?*

Do you have a loan or rental contract with the operators using your equipment?*

Yes
No

LED Therapy

LED Therapy

Make-Up Artistry (excluding permanent makeup and tattooing)

Make-Up Artistry (excluding permanent makeup and tattooing)

Manicures and/or Pedicures (excluding cutting or removal of corns, bunions and ingrown toenails)

Manicures and/or Pedicures (excluding cutting or removal of corns, bunions and ingrown toenails)

Microcurrent/EMS

Microcurrent/EMS

Microdermabrasion

Microdermabrasion

Microneedeling

Microneedeling

Micropigmentation/Microblading

Micropigmentation/Microblading

Select All Micropigmentation Services Provided*

Tattoo Removal - Describe all methods*

Other - Describe*

Indicate Percentage of Micropigmentation Services Performed

Cosmetic Procedures*

Please enter a number less than or equal to 100.

Corrective Procedures*

Please enter a number less than or equal to 100.

Total Annual Revenue from Micropigmentation (if uncertain, provide an estimate of what you think it could be)*

Do you have clients under the age of 18?*

Yes
No

Do parents stay on the premises?

Yes
No

Do you ever serve alcohol?*

Yes
No

Do you have a liquor license?*

Yes
No

Do any specialists provide addition services?*

Yes
No

Describe*

Are any operations or activities done away off premises?*

Yes
No

Describe

Describe sterilization/cross-contamination prevention procedures*

List all Micropigmentation Operators: ( click Add Button to add an Operator )*

Name	Years of Experience	Type of Certification	Full or Part Time?

Please attach a photo of your certificate (if you’re not able to attach it now, a copy will be required prior to issuing a policy)

Drop files here or

Max. file size: 300 MB.

Equipment

Indicate the manufacturer, make and model of micropigmentation equipment used:*

Is your micropigmentation equipment modified/rebuilt/used?*

Yes
No

What percent of your equipment is used?*

Please enter a number less than or equal to 100.

How old is the equipment?*

Is equipment inspected daily?*

Yes
No

Who does the maintenance on the equipment?*

Who is the manufacturer of the pigment you use?*

Are all machines and pigments approved for use within Canada?*

Yes
No

Please advise where they are approved:*

Paraffin

Paraffin

RF/Radiowave Skin Care

RF/Radiowave Skin Care

Reflexology

Reflexology

Reiki

Reiki

Does Reiki account for less then 50% of your business?*

Yes
No

Select the Reiki service(s) provided:*

Relaxation/Wellbeing
Therapeutic Treatment (i.e., treat mental/psychological conditions)

Relaxation Massage (massage that’s complimentary to esthetic services; not Massage Therapy or RMT)

Relaxation Massage (massage that’s complimentary to esthetic services; not Massage Therapy or RMT)

Retail Sales

Retail Sales

Do you manufacture any products?*

Yes
No

What are the products?*

What is the approximate annual revenue from the sale of these items?*

What ingredients/materials are used?*

Are ingredients/materials purchased from a company located in Canada or the U.S.?*

Yes
No

Are any vitamins, medication or antibiotics added?*

Yes
No

Do you repackage or re-label any products?*

Yes
No

What are the products?*

What is the approximate annual revenue from the sale of these items?*

Are these products Health Canada approved?*

Yes
No

Do the product labels indicate the manufacturer?*

Yes
No

Is your revenue from retail sales more than 50% of your total revenue?*

Yes
No

Any US sales?*

Yes
No

What is the approximate annual revenue from sales to U.S. customers?*

Spray Tanning

Spray Tanning

Tanning Beds

Tanning Beds

Number of tanning Beds*

Annual revenue from tanning beds:*

Annual revenue for total business including tanning beds:*

Teeth Whitening

Teeth Whitening

Is product purchased from a manufacturer/distributor located in North America?

Yes
No

Ultrasound Skin Care

Ultrasound Skin Care

Waxing/Sugaring/Threading

Waxing/Sugaring/Threading

Other

Other

Provide details*

Do you provide any services outside of Canada?*

Yes
No

Policy Update

Step 1 of 4 - Your Information

Policy Update

Contact and Location Information

CONTENTS

Tell Us About Your Services

Select the services you currently provide:

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