Lawyers Professional Liability Insurance
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Policy and Application

Online Application
 
The forms listed below are in PDF format. In order to view and/or print these forms, you must have Acrobat Reader. A free version of the Acrobat Reader software is available online.

Primary Application- This form may be printed and completed by hand. (Coming soon: this form will be available to fill in online before printing.)

Supplemental Claim Information Form- This form is to be completed by an Applicant who has been involved in any claim or suit, or is aware of an incident which may give rise to a claim.

Supplemental Securities Information Form- This form is to be completed by an Applicant who is involved in Federal or State Securities Practice.

Description of Practice Areas- For informational purposes.

New Lawyer Information- This form is to be used for firms already insured with FLMIC when a new attorney joins the firm. 

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