Verisk Strategic Alliances Vendor Information Form

Please note: It is important to provide complete information requested on this form, such as project scope, correct licensed products, or timeline of the project. If incomplete, this may result in delays. If you have any questions about the form, please contact your Account Executive.

Step 1 of 3

Please complete a separate form for each vendor. Note: Vendor may be subject to an administrative fee.

1. This vendor will be developing: *

2. Your company (the insurer) will be providing the following ISO products and services to this vendor.

You can only check off products that (1) you currently or are about to license and (2) will be shared with the 3rd party vendor. Adding products that you do not currently license may cause a delay in the processing of the VIF. If you have any questions regarding your licensed products, please contact your Account Executive.

(Note: Please check the products/lines for this project only.):

Policy Administration/Rating
Extreme Event Modeling

Step 2 of 3

3. For LOCATION, please check the services your company licenses:
4. This vendor requires access for the following lines of business on your behalf for this project:
5. How will ISO materials be delivered to this vendor or how will the connection be established? *
8. The product is:*
9. Where will the work be done? *

13. How long will you be working on this project with the vendor? (Note: standard term for consultant licenses is 6-12 months. If your project requires more time, we can extend the term for up to 3 years)  *

Step 3 of 3

I am an authorized representative from the above insurer or MGA to certify that this is a complete and accurate statement of the work we are requesting from the above vendor. We require the vendor to use ISO products only as permitted by the terms and conditions of our license. We understand that we are responsible to Insurance Services Office, Inc. and its subsidiaries and affiliates for any vendor use or misuse of ISO products.