Get Professional Indemnity Insurance Proposal Form - Uib Group

Filling out the Professional Indemnity Insurance Proposal Form is an important step in securing insurance coverage for your legal practice. This guide will walk you through each section of the form, ensuring you provide all necessary information accurately and efficiently.

Follow the steps to complete the form correctly.

1. Click ‘Get Form’ button to obtain the Professional Indemnity Insurance Proposal Form and open it in your preferred document editor.
2. Begin with the name and address details section. Fill in your practice name, date established, S.R.A. registration number, main office address, postcode, telephone number, fax number, contact name, contact email address, and practice website. If you have additional offices needing coverage, indicate yes or no and list their addresses if applicable.
3. In the prior practices section, provide the names of all previous practices that your practice is a successor of, along with the respective dates established and dates of succession. Disclose any reported incidents or claims if applicable.
4. Complete the solicitor details section for every principal, fee earner, and consultant in your practice. Include their titles, full names, dates of birth, percentage of equity held, and qualification dates. Note any registered foreign or European lawyers accordingly.
5. List the number of non-solicitor fee-earning staff and other staff, distinguishing between full-time and part-time roles.
6. Provide practice fees by enumerating your fee income for the last five financial years along with the largest fee from the most recent year. Include estimated fees for the upcoming financial year and disclose any income from clients based in the USA or Canada.
7. Indicate your current cover status. Answer questions about prior involvement with the Assigned Risks Pool and clarify any refusals of terms from qualifying insurers.
8. Answer questions regarding your practicing certificate, detailing any refusals, conditional grants, or disciplinary actions against fee earners in your practice.
9. In the claims and circumstances section, provide details of any claims or incidents reported by your practice or prior practices over the last ten years.
10. Complete the risk management section by specifying quality marks and accreditation. Answer questions about your practices related to employee engagement, audit processes, and money laundering policies.
11. Fill in the areas of practice and allocate the percentage of gross fees to each area. Make sure the total equals 100%.
12. If applicable, complete the conveyancing and personal injury sections, providing details on prior transactions and claim handling.
13. Conclude by reviewing any significant changes in your practice and providing any additional material information relevant to the application.
14. Sign the declaration to confirm that the information provided is accurate and complete. Print, save changes, or download the form as needed.

Complete your Professional Indemnity Insurance Proposal Form online today for a secure future.