Get Form D21903

Filling out the Form D21903 online can be straightforward with a clear understanding of each section. This guide aims to provide step-by-step instructions to ensure users can accurately complete the application for employed lawyers professional liability insurance.

Follow the steps to successfully complete the Form D21903 online.

1. Click ‘Get Form’ button to access the form and open it in your preferred online editor.
2. Begin by entering the name of the company in the designated field at the top of the form. Ensure that the company name is accurate and complete.
3. Next, provide the address of the principal office of the company. Fill in the city, state, and ZIP code in the corresponding fields.
4. Indicate the state of incorporation and the total number of employed lawyers in the specified fields.
5. Answer whether any employed lawyer is a member of the American Corporate Counsel Association by selecting 'Yes' or 'No'.
6. If applicable, attach a separate page with the required details for each employed lawyer who will be insured, including their names, titles, bar admission year, and other necessary information.
7. For the company information section, attach the latest annual report and relevant financial documents as specified.
8. Answer questions about the company structure, such as whether it is publicly or privately held, and whether it is for-profit or non-profit.
9. Respond to inquiries regarding indemnification policies, types of legal work, and relevant practices followed by employed lawyers.
10. Proceed with answering questions related to claims history. This includes disclosures about any reprimands or existing claims against employed lawyers.
11. Review all your entries for accuracy. Once all sections are completed, save your changes in the online editor.
12. Finally, you can download, print, or share the completed form as needed.

Take the next step toward securing your liability insurance by completing the Form D21903 online today.