Max Specialty Applications & Supplements

Law Firm

Forms and Applications

 

 

Fully completed, signed and dated applications and supplements are required for complete underwriting and pricing. No coverage can be bound without first completing, submitting and receiving approval from underwriting.

 

Applications

  • Alterra Lawyers Professional Liability Application

Supplemental Applications

  • Civil Litigation Supplement
  • Claim Supplement
  • Collection Work Supplement
  • Copyright, Patent & Trademark Supplement
  • Entertainment Supplement
  • Estate Trust Supplement 
  • Mass Tort Class Action Supplement
  • Outside Interest Supplement
  • Plaintiff Supplement
  • Real Estate Supplement
  • Securities Supplement
  • Taxation Supplement
  • Title Agency Supplement

 

You may download each of these forms by selecting the Adobe file below.

 

Completed applications including appropriate supplemental applications should be submitted to:

 

New Business Underwriting Department

FLAG Insurance Services

84 Court Street

Freehold, NJ 07728

 

 

Download Applications & Supplements Here

Do you have questions about completing these applications or do you want to make an appointment to discuss your legal malpractice insurance?

Please call us at 732-462-8929 or use our contact form.

Alterra Legal Malpractice Application
Alterra Lawyers Application.pdf
Adobe Acrobat document [148.6 KB]
Alterra Civil Litigation Supplement
Civl Litigation Supplement.pdf
Adobe Acrobat document [122.2 KB]
Alterra Claim Supplement
Complete one form for each claim or circumstance
Claim supplement.pdf
Adobe Acrobat document [77.9 KB]
Alterra Collection Work Supplement
Collection Work Supplement.pdf
Adobe Acrobat document [183.3 KB]
Alterra Copyright, Patent & Trademark Supplement
Copyright Patent Trademark Supplement.pd[...]
Adobe Acrobat document [315.1 KB]
Alterra Entertainment Supplement
Entertainment Investment Supplement.pdf
Adobe Acrobat document [170.1 KB]
Alterra Estate & Trust Supplement
Estate Trust Supplement.pdf
Adobe Acrobat document [93.7 KB]
Alterra Mass Tort Class Action Supplement
Mass Tort Class Action Supplement.pdf
Adobe Acrobat document [164.2 KB]
Alterra Outside Interest Supplement
Outside Interest Supplement.pdf
Adobe Acrobat document [22.1 KB]
Alterra Plaintiff Supplement
Plaintiff Supplement.pdf
Adobe Acrobat document [125.7 KB]
Alterra Real Estate Supplement
Real Estate Supplement.pdf
Adobe Acrobat document [331.1 KB]
Alterra Securities Supplement
Securities Supplement.pdf
Adobe Acrobat document [162.6 KB]
Alterra Taxation Supplement
Taxation Supplement.pdf
Adobe Acrobat document [83.8 KB]
Alterra Title Agency Supplement
Title Agency Supplement.pdf
Adobe Acrobat document [94.1 KB]