ERRORS & OMISSIONS (E&O) INSURANCE - Hirsch Insurance Brokerage

Errors & Omissions (E&O) Insurance

In addition to providing Lawyers’ Professional Liability, we offer quality E&O coverage for the following professions:

We have quality insurance markets, offering affordable coverage for these professions and more.

If you’re interested in coverage, please fill out the form below and we will contact you promptly regarding options.

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Applicant Information
Name:*
First Last
Business Applicant Name:*
Phone Number:*
Email Address:*
Applicant Website/URL:
Type of Business Entity:*
Date Business Established:*
Business Information
Type of Business Service:
If you do not see your profession listed please place in other.
Other Type of Business
Description of Professional Services Provided:*
Current Year Gross Annual Revenues:*
Prior Year Gross Annual Revenues:*
Next Year (Projected) Revenues:*
Total Number of Employees:*
Number of Full-Time Employees:*
Number of Part-Time Employees:*
Does the Applicant Utilize the Services of Independent Contractors?*
- Yes
- No
If Yes, Do you Require Independent Contractors to carry Professional Liability Insurance?
- Yes
- No
What percentage of the time does the applicant use written contracts?*
Please enter a value between 0 and 100.
Have any Professional Liability Claims or suits been made against the applicant during the past five (5) years?*
- Yes
- No
If YES, you will need to provide full details of any claim or suit.
Is the applicant aware of any circumstances, alleged error or omissions, acts or situations which may reasonably be expected to result in a claim being made under the proposed insurance?*
- Yes
- No
If YES, you will need to provide full details of any claim or suit.
Please provide any detailed claim or potential claim information:

Applicant Information