CRIME – EMPLOYEE DISHONESTY

PRIOR POLICY

Provide the policy number, carrier, limits and the inception and expiration dates of any policy that provided employee dishonesty coverage for the applicant over the last five years.

Policy number

Carrier

Employee dishonesty limit

Inception date

Expiration date

_______________________________________________________________________________________________

_______________________________________________________________________________________________

_______________________________________________________________________________________________

Note: This information is needed when a loss is discovered in the current policy year for an occurrence in prior years

EMPLOYEES

Does the applicant employ any person who has committed a theft or dishonest act? ___ Yes ___ No

Note: These employees are excluded from coverage and should not be included for rating purposes.

Are all potential employees screened prior to employment? ___ Yes ___ No

Are references required and verified? ___ Yes ___ No

Does applicant contract with another firm to lease employees? ___ Yes ___ No

Does applicant lease employees without using an outside agency? ___ Yes ___ No

Does applicant use volunteers? ___ Yes ___ No

Note: Temporary leased employees who are substituting for regular employees are covered; others, including volunteers, are excluded and should not be included for rating purposes.

MANAGEMENT CONTROLS

Does a person outside of the applicant’s accounts payable unit verify the accuracy of all monthly paid invoices? ___ Yes ___ No

Are invoices stamped "paid" at the time checks are issued to prevent duplicate checks from being issued to fictitious persons? ___ Yes ___ No

Are auditor-suggested improvements in internal controls implemented? ___ Yes ___ No

Is there adequate separation of duties between employees who:

Receive money and keep books? ___ Yes ___ No

Disperse money and keep books? ___ Yes ___ No

Reconcile bank accounts and deposit or withdraw?