Lawyers Insurance Premium Indication Request

Lawyers Insurance Premium Indication Request

Please provide me with your most competitive NO OBLIGATION premium estimate for professional liability coverage.

Address
What is your preference for communication?
Name, Hire Date, Designation
Are engagement letters or retainer agreements, that establish the scope of your firm's representation, required to be sent to all new clients?
Have you ever sued a client (past or present) for uncollected fees?
Has any member of your firm handled class action or mass tort litigation in the past 5 years?
Has any member of your firm been disbarred or been the subject of a disciplinary proceeding?

Area of Practice - What percentage of gross billings are earned from the following (Total Must Equal 100%):

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Insurance History

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Claims History (if applicable):

Claim 1

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Claim 2

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Claim 3

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