Insuring Lawyer - Quote Form

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Yes! You can save $1000's On Business Insurance & Professional Liability with The Most Respected Name In The Entire Marketplace -The Hartford - Along With The Nationally Recognized Experts At Insuring Lawyer!

No doubt your law firm means your lifeblood and financial future. Doesn't it make sense to protect it from the countless liabilities you face everyday?

Wouldn't you love having the peace of mind that your law firm is protected against theft, office equipment break-down, lost income, and ESPECIALLY your professional liability along with much, much more?

With just an few minutes of your time, you can complete this form and Insuring Lawyer can rocket you a quotation within 72 hours maximum!

Of course your quotation is 100% secure and your information will never be shared with any other parties or business.

With Warm Regards,

Michael Carroll
President
Insuring Lawyer

Contact Information * Required

*Firm Name:

*Contact Name:

*Mailing Address:

*City:

*State:

*Zip Code:

*Phone:

xxx-xxx-xxxx (Include Area Code)

*Email:

Website Address:

Property Points To Go Over

*Age of Building:

Renovation Dates:

*Construction:

Approximate Sq. Footage of Office:

Sprinklers:

Limit of Building Coverage (if any):

*Limit of Contents Coverage:

Alarm Systems:

Professional Liability & General Points To Go Over

††

Total Annual Payroll:

Workers Comp:

Employee Benefits Liability:

Umbrella Desired:

*Are Total Billings Per Attorney Greater Than $500,000?

*Is the firm's standard practice to use engagement and non-engagement letters when agreeing or declining to represent a client?

*Provide the number of Lawyers

*Do you have in place a back-up Lawyer?

*If insured is a sole practitioner, is there another person who is responsible for docket control? Choose N/A if not

*How many non-Lawyer employees in the firm?

*Does the insured's docket control system have at least two independent controls?

*Do any members of the firm have an ownership interest or serve as a director or officer of any client's business, past or present?

*In the past two years, has the insured brought suit against any client for unpaid legal fees?

*In the last five years, have any Lawyer or Lawyers in the insured's firm have a professional liability claim made against them?

*Is any member of the insured's firm aware of any act, error of omission that could result in a professional liability claim being made?:

*In the past five years, has a professional liability insurer declined to offer coverage, non-renewed coverage or cancelled coverage for the insured's firm?

*Has any member of the insured firm (past or present) had their license to practice law revoked?

*Desired Limits of Liability:

*Deductible - $2,500 Deductible is Standard. Optional Deductible Amounts:

Owned Autos

Owned Autos:
Year, Make, Model, Cost New

Drivers:
Name & Driver's License #'s

Current Insurance Information

*Name of Current Insurance Company:

*Name of Current Insurance Agency/Broker:

*Any Claims in the Last 3 Years?:

*Renewal or Desired Quotation Date:

*Current Approximate Premium:

Comments:

Enter Security Code:

Insuring Lawyer will not share or sell your personal information.
See the Terms & Conditions page for additional information.