Quote Test

    Total Gross Billings for 12 months ending:

    Areas of Practice

    Attorneys and Predecessor Firms

    Roster of lawyers (include all lawyers affiliated with the firm, including "Of Counsels" and independent contractors)

    *Status = O - Owner, E - Employee, OC - Of Counsel, IC - Independent Contractor

    Lawyer Name


    Hours Worked per Week

    Approximate Month/Year of Hire

    File Opening and Client Management

    How often does the firm use:





    If the letters above are not used or not used in all circumstances please explain how the firm documents the commencement and discontinuation of services with a client.

    If you are a sole practitioner, please identify the lawyer with whom you have a written emergency coverage agreement and the expiration date of the agreement.

    Loss Information

    Within the past five years, has any firm member been the subject of any of the following disciplinary actions or investigations/proceedings?

    General Information

    Annual Payroll for: