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Who We Are
What We Do
News
Blogs
Products
Insurance for Lawyers
Insurance for Dentists
Insurance for Dental Hygienists
Insurance for Dental Students
Insurance for Podiatrists
Insurance for Physicians
Insurance for Accountants
Cyber Liability Insurance
Liability Only Insurance/Special Events
Find an Agent
Contact
INSURANCE ESTIMATE FOR LAWYERS
Please answer the following. We will provide a quote estimate and details of the coverage to your preferred contact method.
Full Name
*
Practice Name
*
Practice Address
*
Street Address
Address Line 2
Work City & State
*
Work County & Zip Code
*
Work Phone
*
Work Email
*
Insurance History
Please answer the following.
Current Carrier
*
Current Expiration Date
*
MM slash DD slash YYYY
Prior Acts Date
*
MM slash DD slash YYYY
Current Limits
*
Current Deductible ($)
*
Attorney Information
This section is about the attorneys in your firm. Please answer the following.
Total Number of Attorneys in the Firm
*
Total Number of Full-Time Attorneys in the firm
*
Total Number of Part-Time Attorneys in the firm
*
Area of Practice Information
Indicate the area of practice in percentage in the following areas. Percentage total must equal 100%. If none, please indicate 0 for 0%.
Admiralty Law (%)
*
Plaintiff (%)
*
Defense (%)
*
Administrative Law (%)
*
Antitrust/Trade Regulation (%)
*
Bankruptcy/Collection (%)
*
Business Transactions & Contracts (%)
*
Civil Rights (%)
*
Class Actions (%)
*
Commercial Litigation (%)
*
Plaintiff (%)
*
Defense (%)
*
Construction/Building Contracts (%)
*
Corporate General (%)
*
Criminal (%)
*
Family Law (%)
*
Employment Law (%)
*
Plaintiff (%)
*
Defense (%)
*
Environmental Law (%)
*
Government Contract Work (%)
*
Healthcare (%)
*
Immigration and Naturalization (%)
*
Intellectual Property (%)
*
Copyright (%)
*
Patent/TM (%)
*
International Law (%)
*
Mediation & Arbitration (%)
*
Personal Injury (%)
*
Plaintiff (%)
*
Defense (%)
*
Natural Resources (%)
*
Securities or Bonds (%)
*
Real Estate (%)
*
Commercial (%)
*
Foreclosure (%)
*
Land Use & Zoning (%)
*
Residential (%)
*
Title (%)
*
Workers Compensation (%)
*
Plaintiff (%)
*
Defense (%)
*
Tax Opinions (%)
*
Other (%)
*
Area of Practice Percentage Total Must Equal 100%
Additional Questions
Any professional liability claims or incidents reported against any of the attorneys listed, prior partners or associates in the last 5 years?
*
Yes
No
Provide loss runs
*
How many suits for fees have you filed against your clients in the last two (2) years?
*
Have any of the firm’s attorneys been the subject of any disciplinary action, for any reason other than non-payment of dues, within the last ten (10) years?
*
Yes
No
Any professional liability claims or incidents reported against any of the attorneys listed, prior partners or associates in the last 5 years?
*
Yes
No
We may need additional information to provide an estimate.
Provide loss runs
*
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