Lloyd's New York Application and Supplements

Lloyds liability

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.

 

Application

  • 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.

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