Lawyers Professional Liability Application


    Contact Information

  • Insurance Information

  • General Information

  • Estimate the percentage of hours per year your firm works in each area of practice. (NOTE: Must total 100%)
  • * If greater than 10%, completion of a Supplement for this area of practice is required

  • Risk Management

  • How often does the firm use the following (%'s):

  • Does your Docket / Calendar system:
  • Loss Information