On-line Application for Legal Malpractice Insurance – Legal Aid Society

We’re Lawyers Insurance Group, legal malpractice insurance brokers.

Our mission is to obtain the broadest coverage at the best price for every Legal Aid Society and Legal Services Organization (includes legal clinics, public defender agencies, public interest groups, civil liberties groups, court-appointed counsel, etc.)

We accomplish this via aggressive comparison shopping on organizations' behalf, leveraging our access to dozens of “A”-rated legal malpractice insurers. We also provide attentive service, expert advice, and strong coverage advocacy if you incur a claim.

Fill out and submit the online form below to obtain no-cost, no-obligation quotes. Put any relevant information not captured by the form, in the "Message" box.

We’ll send your application to all viable insurers, based on your organization’s risk profile, contact you when we receive their quotes, and answer all of your questions. It’s a low-key process, without any sales calls or pressure.

For assistance, contact Curt Cooper, Principal Broker: ccooper 'at' lawyersinsurer.com, or (202) 802-6415.

* indicates a required field; put "N/A" if the question doesn't apply.

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Name:*

Email:*

Message:*

Legal Name of Organization*

Street Address, City, State, and Zip Code of Organization's Main Office*

Name, title, and email address of contact person for this application*

Enter the number that best describes the organization: #1 Civil Legal Services Org. | #2 Public Defender Agency | #3 Pro Bono Program | #4 Legal Clinic/Law School | #5 Contract Defender | #6 Court-Appointed Counsel | #7 Public Interest, Civil Rights/Liberties or Social Service Org. | #8 Advocacy Group | #9 Other (describe)*

What percent of the Applicant’s cases are for clients who are not indigent and whose incomes are more than 200% above the national poverty level?*

Does the Applicant provide any services for clients other than legal? Yes or No: If "yes", describe.*

How many of the Applicant's staff average hours worked per week is: (enter category # and number of attorneys in each: #1 1-10 hours | #2 11-20 hours | #3 21-35 hours | #4 More than 35 hours*

What is the total number of hours of legal services provided annually by all volunteer attorneys on behalf of the applicant (volunteers only, not paid staff)?*

Are all attorneys (staff and volunteer) admitted to practice law in the state in which they are providing legal services on behalf of the organization?* Yes or No:*

Enter the numbers that describe the types of legal services the Applicant provides*: #1 Criminal | #2 Family | #3 Healthcare | #4 Immigration | #5 Housing/Landlord/Tenant | #6 Elder Law | #7 Bankruptcy | #8 Consumer Rights | #9 Civil Rights | #10 Veterans Assistance | #11 Other (describe)

Has any professional liability claim or suit been made in the past 5 years against any current or former attorney, employee, member or volunteer of the Applicant and/or the Applicant itself or any predecessor entity?*

After inquiry, does any individual attorney, employee, member or volunteer of the Applicant have knowledge or information of any occurrence or incident which may give rise to a claim?*

Within the past five years, has any attorney been refused admission to practice, disbarred, suspended, formally reprimanded, or sanctioned in any other way, or is the subject of a pending disciplinary proceeding?*

Have all matters noted in response to the above three questions been reported to the Applicant’s current insurer or to the current insurer of any predecessor entity or to the current insurer of any attorney of the Applicant?*

Name of Current Malpractice Insurer*

Current Malpractice Insurance Policy Expiration Date*

Current Malpractice Insurance Policy Limits and Deductible*

Current Malpractice Insurance Policy Premium*

Current Malpractice Insurance Policy Prior Acts (Retroactive) Date*

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