InsuranceSpecialists,Inc.HasBeenProvidingProfessionalLiabilityInsuranceSince1965
LawyersProfessionalLiabilityInsurancePremiumEstimate
ApplicantFirmInformation
FirmNameContactPerson#ofAttorneysinFirmPhoneNumberFaxNumber
StreetAddress(City,State,ZipCode,County)
E-mailAddress
PracticeSurveyIndicatethepercentageoffirmincomederivedfromeachareaofpractice.
1.AreaofPractice%ofFirmIncome4.AreaofPractice%ofFirmIncome
2.AreaofPractice%ofFirmIncome
5.AreaofPractice%ofFirmIncome
3.AreaofPractice%ofFirmIncome
6.AreaofPractice%ofFirmIncome
ToreceiveRaPidRatepremiumestimate,pleasecompleteandreturnthisrequestto:
InsuranceSpecialists,Inc.-ProfessionalLiabilityDept.12LenoxPointeAtlanta,GA30324
Pleaseattachacopyoffirmletterheadandacopyofpolicydeclarationspage(ifavailable).Coveragemaybeboundonlyuponsubmissionandacceptanceofafullycompletedapplication.
Phone:(888)ISI-1959•Fax:(866)871-2170 |
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