In order to facilitate competitive quotations on your behalf please complete the following instructions:
  Print out the professional liability application from the link below
  Complete and/or correct the information
  Return the application via fax (310-626-6294) and mail the original to:
     Applegate Insurance Services, 23545 Crenshaw Blvd, Suite 200A
     Torrance, California 90505-5266
  Include a blank sheet of letterhead
  Copy of your current declarations page from your current policy
  Information about claims, losses and/or incidents

Arch Insurance Company
  Quick Quote
  Entertainment Supplement
  Personal Injury Supplement
  Risk Management Supplement
  Claim Supplement

Carolina Casualty Insurance Company
  Proposal
  Lawyers
  Claim Supplement

Chubb Group - Federal Insurance Company
  New Business Application
  Supplements

Hartford Group - Twin City Insurance Company
  Application
  Claim Supplement

Lawyers Mutual Insurance Company
  Standard Application
  Mediation Application
  Criminal Application
  Additional Attorney

Lawyers Protector Plan - XL Group / Greenwich Insurance Company
  Application
  Claim Supplement
  Bridge Application