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.

Travelers New York Application
Law Firms of 1-10 attorneys
New Business Application - NY.pdf
Adobe Acrobat document [100.9 KB]
Travelers New York Application 11+ attorneys
Law Firms of 11+ Attorneys
New York Application 11+ attorneys.pdf
Adobe Acrobat document [120.0 KB]
Travelers Additional Location(s) Supplement
Additional Locations Supplement.pdf
Adobe Acrobat document [43.1 KB]
Travelers New York Bridge Application
Used when Travelers is accepting another insurers completed application
Bridge Application.pdf
Adobe Acrobat document [46.9 KB]
Travelers Claim Suit or Incident Supplement
Complete one supplement for each claim or circumstance
Claim Supplement.pdf
Adobe Acrobat document [60.9 KB]
Travelers Bankruptcy & Collections Supplement
Bankruptcy Collections Supplement.pdf
Adobe Acrobat document [45.1 KB]
Travelers Entertainment Supplement
Entertainment Supplement.pdf
Adobe Acrobat document [47.2 KB]
Travelers Estates & Trusts Supplement
Estates Trusts Supplement.pdf
Adobe Acrobat document [45.2 KB]
Travelers Environmental Supplement
Environmental Supplement.pdf
Adobe Acrobat document [37.2 KB]
Travelers Financial Institution Supplement
Financial Institution Supplement.pdf
Adobe Acrobat document [53.2 KB]
Travelers New Attorney Supplement
Use this supplement when an attorney joins your firm during the policy period
New Attorney Supplement.pdf
Adobe Acrobat document [44.2 KB]
Travelers Intellectual Property Supplement
Copyright, Patent & Trademark
Intellectual Property Supplement.pdf
Adobe Acrobat document [79.4 KB]
Travelers Large Firm Supplement
To be completed by large firms only
Large Firm Supplement.pdf
Adobe Acrobat document [75.0 KB]
Travelers Oil & Gas Supplement
Oil Gas Supplement.pdf
Adobe Acrobat document [49.3 KB]
Travelers Outside Interest Supplement
Outside Interest Supplement.pdf
Adobe Acrobat document [45.2 KB]
Travelers Plaintiff Supplement
Plaintiff Supplement.pdf
Adobe Acrobat document [55.8 KB]
Travelers Real Estate Supplement
Real Estate Supplement.pdf
Adobe Acrobat document [91.1 KB]
Travelers Securites Supplement
Securities Supplement.pdf
Adobe Acrobat document [105.2 KB]
Travelers Trustee Supplement
Trustee Supplement.pdf
Adobe Acrobat document [36.8 KB]
Travelers Title Agency Supplement
Title Agency Supplement.pdf
Adobe Acrobat document [46.3 KB]
Travelers Tax Supplement
Tax Supplement.pdf
Adobe Acrobat document [40.6 KB]
Travelers Specified Additional Limit Supplement
Used when a client, project or contract requires a higher limit of liability
Specified client additional limit supple[...]
Adobe Acrobat document [58.9 KB]
Travelers Limit or Deductible change supplement
Used for mid-term request to change limit or deductible
Limit or Deductible change request suppl[...]
Adobe Acrobat document [47.4 KB]