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Legal Malpractice Insurance Indication

For your free, no-obligation quote, fill out the form below and submit it to INtegrity First Corporation.

Alternatively, a Microsoft Word version of the Attorney Malpractice Insurance indication or a PDF version of the Attorney Malpractice indication may be downloaded and emailed to divol@integrityfirstins.biz.

Law Firm Contact Information

General Firm Information

General Firm Internal Control Information

Quantity of docket control systems maintained:
Is the docket control system computerized?
Does the firm maintain a conflict of interest system check?
If such a system exists, is it computerized?
Does the firm use engagement, disengagement, and non-engagement letters?

Attorney Profiles

Attorney 1 Information

Is 'Of Counsel'?
If 'Of Counsel', # of hours worked per week:
Is an Independent Contractor (IC)?
If IC, # of hours worked per week:

Attorney 2 Information

Is 'Of Counsel'?
If 'Of Counsel', # of hours worked per week:
Is an Independent Contractor (IC)?
If IC, # of hours worked per week:

Attorney 3 Information

Is 'Of Counsel'?
If 'Of Counsel', # of hours worked per week:
Is an Independent Contractor (IC)?
If IC, # of hours worked per week:

Attorney 4 Information

Is 'Of Counsel'?
If 'Of Counsel', # of hours worked per week:
Is an Independent Contractor (IC)?
If IC, # of hours worked per week:

Attorney 5 Information

Is 'Of Counsel'?
If 'Of Counsel', # of hours worked per week:
Is an Independent Contractor (IC)?
If IC, # of hours worked per week:

Please check here if your firm has more than five lawyers and we will send you an additional form.

Current Law Firm Insurance Information

Number of years insured:

Claim History Information

Are you aware of any claims against you or the firm in the past 5 years?
Are you aware of any incident that could give rise to a claim in the past 5 years?
Has any member of the firm been refused to practice, disbarred, suspended, reprimanded, sanctioned, or held in contempt by the court administrative agency or regulatory body?

Areas of Practice Grid

Administration: %

Admiralty/Maritime: %

Antitrust/Trade Regulation: %

Arbitration/Mediation: %

Banking/Financial Inst: %

Bankruptcy: %

BI/PI Defense: %

BI/PI Plantiff: %

Civil Rights/Discrimination: %

Collection/Repossession: %

Communication/FCC: %

Copyright/Trademark: %

Corporate-Formation: %

Corporate-General: %

Criminal Law: %

Domestic Relations/Family: %

Employee Benefits: %

Entertainment/Sports: %

Environmental: %

Estates/Wills/Trusts(<1M): %

Estates/Wills/Trusts(1M-5M): %

Estates/Wills/Trusts (>5M): %

Foreign/International: %

Healthcare: %

Insurance: %

Investments/Mony Mgmt: %

Labor Law/Management: %

Labor Law/Union: %

Mergers & Acquisitions: %

Municipal: %

Oil/Gas/Minerals: %

Patent: %

Public Utilities: %

Real Estate-Commercial: %

Real Estate-Residential: %

School Law: %

Securities: %

Social Security/Elder Law: %

Tax/Corporate: %

Tax/Individual: %

Water Rights: %

Work Comp/Defense: %

Work Comp/Plantiff: %

Class Action/Mass Tort: %

Other: %

Explain Other: