Travelers New York Applications 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.
Applications
- Lawyers Professional Liability Application (1-10 attorneys)
- Lawyers Professional Liability Application (11 or more attorneys)
- Bridge Application (used when underwriters are accepting another insurers application)
Supplemental Applications
- Additional Locations Supplement
- Bankruptcy & Collections Supplement
- Claim Supplement
- Entertainment Supplement
- Estates & Trusts Supplement
- Environmental Supplement
- Financial Institutions Supplement
- Intellectual Property Supplement
- Large Firm Supplement
- New Attorney Information Supplement
- Oil & Gas Supplement
- Outside Interest Supplement
- Plaintiff Litigation Supplement
- Real Estate Practice Supplement
- Securities Supplement
- Trustee Supplement
- Title Agency Supplement
- Tax Supplement
- Specified additional limit Supplement
- Limit or Deductible Change Request
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.
Law Firms of 1-10 attorneys
New Business Application - NY.pdf
Adobe Acrobat document [100.9 KB]
Law Firms of 11+ Attorneys
New York Application 11+ attorneys.pdf
Adobe Acrobat document [120.0 KB]
Additional Locations Supplement.pdf
Adobe Acrobat document [43.1 KB]
Used when Travelers is accepting another insurers completed application
Bridge Application.pdf
Adobe Acrobat document [46.9 KB]
Complete one supplement for each claim or circumstance
Claim Supplement.pdf
Adobe Acrobat document [60.9 KB]
Bankruptcy Collections Supplement.pdf
Adobe Acrobat document [45.1 KB]
Financial Institution Supplement.pdf
Adobe Acrobat document [53.2 KB]
Use this supplement when an attorney joins your firm during the policy period
New Attorney Supplement.pdf
Adobe Acrobat document [44.2 KB]
Copyright, Patent & Trademark
Intellectual Property Supplement.pdf
Adobe Acrobat document [79.4 KB]
To be completed by large firms only
Large Firm Supplement.pdf
Adobe Acrobat document [75.0 KB]
Outside Interest Supplement.pdf
Adobe Acrobat document [45.2 KB]
Used when a client, project or contract requires a higher limit of liability
Specified client additional limit supple[...]
Adobe Acrobat document [58.9 KB]
Used for mid-term request to change limit or deductible
Limit or Deductible change request suppl[...]
Adobe Acrobat document [47.4 KB]