Interested in Applying for Lawyers’ Professional Liability Coverage? We’ve Made it Easy!
Please complete this short form so that we may promptly contact you regarding a lawyers’ professional liability premium indication for your law firm. Simply click in the area you want to type your info.
Completion of this form does not constitute an insurance binder. The information provided on this form will be used to provide a non-binding premium indication. Any resulting premium indication does not obligate Hirsch Insurance Brokerage to bind coverage and/or issue an insurance policy. Final premium quotation will be subject to the completion of an insurance carrier application. Review of the application and subsequent binding approval by the insurance carrier are necessary.
You can view and print the PDF here (it will open in a new window). You should also be able to fill it out directly within the browser if you’d like. Then from your File menu, you can choose “Print”.
Please fax the completed printed form to 832-850-2880 or email to firstname.lastname@example.org