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Home > Professional Liability Insurance > Lawyers Professional Liability Insurance Application
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Lawyers Professional Liability Insurance Application


Please download the premium indicator application form and complete sections 1-7.

Click Here to Download

Then complete the fields below and attach your completed form. 



Application Firm: *
Date Established: *
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Street *
City *
State *
ZIP / Postal Code *
Contact Information
First Name *
Last Name *
Primary Phone Number *
E-Mail Address *
Attach Completed Premium Indicator Form
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Any submissions or payments made via this website do not constitute a binding agreement to your policy or coverages. Changes and payments to policies are not effective or binding until you, or any party involved, receive official notice from either your insurance agent, or your insurance company. If you have any questions, please feel free to contact us.

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Location Corporate Headquarters
2050 W. Sam Houston Pkwy S Ste 1500, Houston, TX 77042
Contact O: 281-243-5755O: 713-984-1370F: 713-984-1152
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