Valiant New York Applications & 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.
- Lawyers Professional Liability Application
- Additional Office Location(s) Supplement
- Banking Supplement
- Claim Supplement
- New Attorney Supplement
- Outside Interest Supplement
- Plaintiff Supplement
- 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.
VIC LPL NY APP 6- Offices Supp1.pdf
Adobe Acrobat document [21.4 KB]
Complete one supplement for each claim or circumstance
VIC LPL NY APP 7-claim supp1.pdf
Adobe Acrobat document [28.2 KB]
Use this supplement when an attorney joins your firm during the policy period
VIC LPL NY APP 13-New Attny.pdf
Adobe Acrobat document [22.6 KB]
VIC LPL NY APP 4- outside interests.pdf
Adobe Acrobat document [50.0 KB]