Attorney Premium Indication Request Form

Please complete the form below to see how your current coverage stacks up to the newly enhanced benefits and first-rate customer service available through the New York City Bar Association Lawyers Professional Liability Program.

ATTORNEY CONFIRMATION FORM:



* Required

Insurance coverages are underwritten by individual member companies of Zurich in North America, including Zurich American Insurance Company. Certain coverages are not available in all states. Some coverages may be written on a non-admitted basis through licensed surplus lines brokers.

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