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 either be filled out online and then printed or simply printed and filled out by hand.

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.