|

Direct Line: 818-565-5512

Hot Line: 800-252-2045

Cyber Inquiries: 818-382-2030

After Hours Cyber: 877-316-1627

Our Company
Policies
Claims
- Tender a Claim
Cyber Coverage
- Tender a Cyber Claim
Pay Online
CLE/Member Benefits

Our Company
Policies
Claims
- Tender a Claim
Cyber Coverage
- Tender a Cyber Claim
Pay Online
CLE/Member Benefits

Our Company
Policies
Claims
- Tender a Claim
Cyber Coverage
- Tender a Cyber Claim
Pay Online
CLE/Member Benefits

Our Company
Policies
Claims
- Tender a Claim
Cyber Coverage
- Tender a Cyber Claim
Pay Online
CLE/Member Benefits

Request an Indication

Home / Policies Offered / Request an Indication

1 Firm

2 Areas of Practice

3 Claims

4 Coverage

Please fill in the information below and, based on the information you provide, a team member will contact you with an estimated annual premium.
Firm Information
Firm Name*
Contact Person*
Email*
Address*
City*
State*
Zip*
Phone*
Fax
Number of Full-Time Lawyers in Firm*
Number of Part-Time Lawyers in Firm*

Three Major Areas of Practice and Percentages
1. Area of Practice*
1. Percentage*
2. Area of Practice
2. Percentage
3. Area of Practice
3. Percentage

Claims/Discipline Information
Number of reported incidents and/or claims in last 10 years*
Number of disciplinary proceedings before any bar within past 10 years*

Requested Coverage
Effective Date Requested
Date Format: MM slash DD slash YYYY
Limits Requested*
- $100,000/$300,000
- $250,000/$750,000
- $500,000/$1.5M
- $1M/$3M
- $2M/$4M
Deductible Requested*
- $1,000
- $2,500
- $5,000
- $10,000
- $25,000
Date Firm Established*
Date Format: MM slash DD slash YYYY
Existing Prior Acts Date
Date Format: MM slash DD slash YYYY
Firm Currently Insured?*
- Yes
- No

Add each lawyer who is to be insured under this policy

Lawyer Name	Date of Employment (or start date if sole practitioner)	Prior Acts Date with Current Carrier
			Edit Delete
There are no Lawyers.

We will contact you via email with an estimated quotation. It is an estimate of premium only and does not constitute approval. This indication is subject to receipt, review, and approval of a completed Lawyers’ Mutual Application. Please visit www.lawyersmutual.com to download an application or to submit a Quick Quote Form. To speak with the Underwriting Department, please call 800.252.2045.

Recent Posts

New Year, New CLEs
Celebrating 2020 with member benefits and discounts
Safely spend your holiday indoors with your CLE library

Quick Links

Home
Contact Us
Pay Online
Privacy Policy
Request an Indication
Resources

Corporate Office

Lawyers' Mutual Insurance Company
3110 W. Empire Avenue
Burbank, CA 91504

Email: info@lawyersmutual.com Phone: 818-565-5512 Get Directions

Copyright Lawyers' Mutual Insurance Company 2020 |

Lawyer Name*
Date of Employment (or start date if sole practitioner)*
Date Format: MM slash DD slash YYYY
Prior Acts Date with Current Carrier*
Date Format: MM slash DD slash YYYY