Ironshore New York Application & Supplements

New York 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

  • Lawyers Professional Liability Application - 1 - 5 Attorneys
  • Lawyers Professional Liability Application - Over 5 Attorneys

Supplemental Applications

  • Collection Work Supplement
  • Copyright, Patent & Trademark Supplement
  • Entertainment Practice Questionnaire
  • Environmental Law Supplement
  • Estate/Trust Work Supplement
  • Financial Institution Supplement
  • Firm Risk Management Questionnaire
  • New Attorney Form
  • Outside Interests Supplement Form
  • Plaintiff Supplement
  • Real Estate Supplement
  • Securities Supplement
  • Supplemental Claim Information

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.

New York Ironshore Application 1-5 Attorneys
Ironshore NY application for 1 - 5 attorneys
NY_LPL_Application_1_to_5_Attorneys_.pdf
Adobe Acrobat document [513.4 KB]
New York Ironshore Application 6 or more Attorneys
Ironshore NY application for 6+ attorneys
NY_LPL_App_Over_5_Attorneys.pdf
Adobe Acrobat document [509.4 KB]
Claim Supplement
NY Ironshore Claim Supplement
NY_Claim_Information.pdf
Adobe Acrobat document [42.9 KB]
Collection Work Supplement
Ironshore NY Collection Work Supplement
NY_Collection_Work_Supplement.pdf
Adobe Acrobat document [283.7 KB]
Copyright Patent Trademark Supplement
NY Ironshore Copyright Patent Trademark Supplement
NY_Copyright_Patent_Trademark_Supplement[...]
Adobe Acrobat document [255.6 KB]
Entertainment Supplement
NY Ironshore Entertainment Supplement
NY_Entertainment_Questionnaire.pdf
Adobe Acrobat document [65.3 KB]
Environmental Supplement
NY Ironshore Environmental Supplement
NY_Environmental_Law_Supplement.pdf
Adobe Acrobat document [375.0 KB]
Estate & Trust Work Supplement
NY Ironshore Estate & Trust Work Supplement
NY_Estate_and_Trust_Work_Supplement.pdf
Adobe Acrobat document [274.7 KB]
Firm Risk Management Questionnaire
NY_Risk Management Questionnaire.pdf
Adobe Acrobat document [104.7 KB]
New Attorney Supplement
Use this form when an attorney joins your firm during the policy period
NY_New Attorney Form.pdf
Adobe Acrobat document [31.3 KB]
Financial Institution Supplement
NY Ironshore Financial Institution Supplement
NY_Financial_Institution_Supplement.pdf
Adobe Acrobat document [274.1 KB]
Outside Interest Supplement
NY Ironshore Outside Interest Supplement
NY_Outside_Interests_Supplement.pdf
Adobe Acrobat document [254.2 KB]
Plaintiff Supplement
NY Ironshore Plaintiff Supplement
NY_Plaintiff_Supplement.pdf
Adobe Acrobat document [240.6 KB]
Real Estate Supplement
NY Ironshore Real Estate Supplement
NY_Real_Estate_Supplement.pdf
Adobe Acrobat document [303.7 KB]
Securities Supplement
NY Ironshore Securities Supplement
NY_Securities_Supplement.pdf
Adobe Acrobat document [364.7 KB]