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