Errors and Omissions Insurance
Lawyers Professional Liability in AZ
Download Forms and Applications
Fully completed signed and dated applications and supplements are required for complete underwriting and pricing. No coverage can be bound without first completing, submitting, and receiving approval from underwriting.
Applications
- Lawyers Professional Liability Application - 1 - 5 Attorneys
- Lawyers Professional Liability Application - Over 5 Attorneys
Supplemental Applications
- Class Action ⁄ Mass Tort Questionnaire
- Collection Work Supplement
- Copyright, Patent & Trademark Supplement
- Entertainment Practice Questionnaire
- Environmental Law Supplement
- Estate/Trust Work Supplement
- Financial Institution Supplement
- Firm Risk Management Questionnaire
- New Attorney Form
- Outside Interests Supplement Form
- Plaintiff Supplement
- Real Estate Supplement
- Securities Supplement
- Supplemental Claim Informaion
- Taxation AOP Questionnaire.pdf
Completed applications including appropriate supplemental applications should be submitted to:
Contact: JLT Submissions
Questions or additional information, please contact:
Contact: Michael Attanasio
Phone: 1.800.998.5545
Fax: 1.800.214.9486
Email: michael.attanasio@jltfacilities.com
Lawyers Insurance Program
JLT Facilities, Inc.
22 Century Hill Dr Ste 103
Latham, New York 12110-1423