Chartis - Environmental Portal Registration Form

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Environmental Portal Registration

Environmental Portal is an online tracking tool that allows clients and brokers, on behalf of clients, to easily access policy information, extend environmental coverage to new locations, and tailor coverage for specific locations to keep pace with insurance needs arising from acquisitions or divestitures. The system facilitates communication and collaboration among underwriters, risk managers and brokers.

Existing users login here.

*Please note that all fields are required in order to register.

*First Name: Please enter your first name *Last Name: Please enter your last name *Company: Please enter your company *Email Address: Please enter a valid email address (e.g. abc@xyz.com) *Telephone: Please enter a numeric telephone number *Insured Name: Please enter your Insured Name or a a Policy No Underwriter Name: User Role:

After we receive your form, you will receive an email containing your logon credentials.