How you can access our cover

In order to establish whether we can significantly improve on the premium you currently pay simply complete this form.

1. Name of Practice
2. Principal Address of Practice (including postcode)
3. Contact Name
4. Contact Telephone Number
5. Fees for last fully complete accounting year
6. Number of Partners
7. Number of Staff
8. Please give brief details of Risk Management Procedures (i.e. Lexcel Accreditations etc).

Breakdown of fees by work type

1. Commercial Work %
2. Conveyancy Work %
3. Financial Advice %
4. Litigation %
5. Personal Injury %
6. Others %

Claims paid and reserved since 2003

1. 2003/04 £
2. 2004/05 £
3. 2005/06 £
4. 2006/07 £
5. 2007/08 £
6. Current Limit of Indemnity
7. Current Premium
8. Current Insurers
9. The above will be used to generate an indication of terms from our special arrangements.
10.