Get an Insurance Quote To receive an insurance quote for your law firm, please complete the form below providing just a few basic details. One of our experienced Lawyers Insurance specialists will be in touch to discuss your needs and provide the best available options. About the FirmFirm Name*(Required) The precise registered name of the applicant firm, as reflected on the firm's letterhead. Street*(Required) City*(Required) State*(Required)AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificZIP*(Required) Contact Email*(Required) Website Address Is this location a work-at-home or virtual office arrangement?YesNoIs the firm office or suites shared with other attorneys?YesNoFirm Coverage InformationCoverage Effective Date*(Required) MM slash DD slash YYYY Prior Acts Exclusion Date MM slash DD slash YYYY How many years has the firm been continuously insured? What year was the firm established? Type of Entity?Solo PractionerIndividual Attorney with Employee AttorneysPartnershipPCPALLCLLPOtherPlease specify: Is this location where the firm meets with clients?YesNoDoes the firm have offices at other locations?YesNoDoes the firm practice in states other than the primary location?YesNoIs the ratio of support staff to attorneys greater than 3:1?YesNoHas the firm ever purchased an Extended Reporting Period?YesNoHas the firm's coverage ever been non-renewed, cancelled, rescinded or declined by another carrier?YesNoDoes the firm desire coverage for any previously-dissolved predecessor firms and those affiliated attorneys?YesNoIs there an attorney listed on the letterhead not covered by the firm's insurance?YesNoRequested CoverageSome limits/deductibles/optional coverages may not be available in all states and all are subject to underwriting qualification. Your quote will reflect the coverage and options for which your firm qualifies.Select the Each Claim/Aggregate Limit the firm desires.$100,000 / $300,000$250,000 / $500,000$500,000 / $500,000$500,000 / $1,000,000$1,000,000 / $1,000,000$1,000,000 / $2,000,000$2,000,000 / $2,000,000$2,000,000 / $4,000,000$3,000,000 / $3,000,000$4,000,000 / $4,000,000$5,000,000 / $5,000,000Select the Per Claim Deductible the firm desires.$1,000$2,000$2,500$3,000$4,000$5,000$10,000$15,000$25,000$50,000$75,000$100,000Select any optional coverages the firm desires. Aggregate Deductible Claims Expense Outside Limits First Dollar Defense Title Insurance Agency Note: The Title Insurance Agency optional coverage extends coverage to a specific title agency as a separate entity. A supplement application applies. CommentsThis field is for validation purposes and should be left unchanged. Δ
