Lloyd's New York Application and 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.



  • Lloyd's New Business Application

Application Supplements

  • Lloyd's Claim Supplement (complete one for each claim or circumstance)
  • Lloyd's Class Action Supplement
  • Lloyd's Plaintiff Supplement
  • Lloyd's Prior Acts Supplement
  • Lloyd's Real Estate 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.

Application, Plaintiff Supplement & Claim Supplement
NY Lloyd's Application + Plaintiff & Claim Supplements
Lloyds Application + PI Supp + Claim Sup[...]
Adobe Acrobat document [670.2 KB]
Class Action Supplement
NY Lloyd's Class Action Supplement
Adobe Acrobat document [10.0 KB]
Plaintiff Supplement
NY Lloyd's Plaintiff Supplement
Adobe Acrobat document [27.4 KB]
Prior Acts Supplement
NY Lloyd's Prior Acts Supplement
Adobe Acrobat document [16.9 KB]
Real Estate Supplement
NY Lloyds Real Estate Supplement
Adobe Acrobat document [27.9 KB]