Get an Insurance Attorney Application - Section 2

Attorney Information

List all of the firm's attorneys. Differences between the date attorney began practicing law for other than a corporate or governmental entity and the date the attorney was admitted to the Bar must be explained separately.

How many attorneys are at the firm?

Please enter a number from 0 to 250.

Attorney Profile Upload

For firms with more than 10 attorneys, please upload a spreadsheet with the following information:

Attorney Name
Title
Average Hours Worked per Week (0, 0-10, 10-25, 26+)
Number of years in practice
Number of years with the firm
Number of years with continuous malpractice coverage
Prior Acts Date

Accepted file types: xls, xlsx, doc, docx, pdf, Max. file size: 5 MB.

Attorney 1

Name

Designation

Average # of Hours Per Week

State(s) Licensed to Practice Law

No. of Years In Practice

No. of Years with Firm

No. of Years with Continuous Malpractice Coverage

Prior Acts Date

Attorney 2

Name

Designation

Average # of Hours Per Week

State(s) Licensed to Practice Law

No. of Years In Practice

No. of Years with Firm

No. of Years with Continuous Malpractice Coverage

Prior Acts Date

Attorney 3

Name

Designation

Average # of Hours Per Week

State(s) Licensed to Practice Law

No. of Years In Practice

No. of Years with Firm

No. of Years with Continuous Malpractice Coverage

Prior Acts Date

Attorney 4

Name

Designation

Average # of Hours Per Week

State(s) Licensed to Practice Law

No. of Years In Practice

No. of Years with Firm

No. of Years with Continuous Malpractice Coverage

Prior Acts Date

Attorney 5

Name

Designation

Average # of Hours Per Week

State(s) Licensed to Practice Law

No. of Years In Practice

No. of Years with Firm

No. of Years with Continuous Malpractice Coverage

Prior Acts Date

Attorney 6

Name

Designation

Average # of Hours Per Week

State(s) Licensed to Practice Law

No. of Years In Practice

No. of Years with Firm

No. of Years with Continuous Malpractice Coverage

Prior Acts Date

Attorney 7

Name

Designation

Average # of Hours Per Week

State(s) Licensed to Practice Law

No. of Years In Practice

No. of Years with Firm

No. of Years with Continuous Malpractice Coverage

Prior Acts Date

Attorney 8

Name

Designation

Average # of Hours Per Week

State(s) Licensed to Practice Law

No. of Years In Practice

No. of Years with Firm

No. of Years with Continuous Malpractice Coverage

Prior Acts Date

Attorney 9

Name

Designation

Average # of Hours Per Week

State(s) Licensed to Practice Law

No. of Years In Practice

No. of Years with Firm

No. of Years with Continuous Malpractice Coverage

Prior Acts Date

Attorney 10

Name

Designation

Average # of Hours Per Week

State(s) Licensed to Practice Law

No. of Years In Practice

No. of Years with Firm

No. of Years with Continuous Malpractice Coverage

Prior Acts Date