Lawyers

While some policy forms and endorsements are applicable on a countrywide basis, exceptions may apply. Be sure to also review the state-specific sections of this page.

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Primary Product Guide

Special Submission Procedures

DC
Florida
Georgia
Kansas
Maryland
New Jersey
Louisiana
Missouri
Texas

General Applications

LPL AP 00 12 16 – Application for a Claims Made and Reported LPL Policy *
LPL 01 02 09 18 – Application for a Claims Made and Reported LPL Policy – AL *
LPL 05 02 05 18 – Application for a Claims Made and Reported LPL Policy – CO *
LPL 09 02 07 17 – Application for a Claims Made and Reported LPL Policy – FL *
LPL 14 03 01 19 – Application for a Claims Made and Reported LPL Policy – IA *
LPL 15 02 07 18 – Application for a Claims Made and Reported LPL Policy – KS *
LPL 17 02 12 16 – Application for a Claims Made and Reported LPL Policy – LA *
LPL 20 02 10 17 – Application for a Claims Made and Reported LPL Policy – MA *
LPL 19 02 03 16 – Application for a Claims Made and Reported LPL Policy – MD *
LPL 29 04 12 16 – Application for a Claims Made and Reported LPL Policy – NJ *
LPL 30 02 03 19 – Application for a Claims Made and Reported LPL Policy – NM *
LPL 31 12 11 22 – 50% CEIL App for a Claims Made and Reported LPL Policy – NY *
LPL 31 14 11 22 – 100% CEIL App for a Claims Made and Reported LPL Policy – NY*
LPL 31 16 11 22 – 100% CEOL App for a Claims Made and Reported LPL Policy – NY*
LPL 41 02 09 17 – Application for a Claims Made and Reported LPL Policy – TN *
LPL 42 04 03 17 – Application for a Claims Made and Reported LPL Policy – TX *
LPL 45 02 07 17 – Application for a Claims Made and Reported LPL Policy – VA *
LPL 46 00 08 15 – Application for a Claims Made and Reported LPL Policy – WA *

Renewal Applications

LPL AP 01 12 16 – Renewal Application for a Claims Made and Reported LPL Policy*
LPL 01 03 09 18 – Renewal Application for a Claims Made and Reported LPL Policy – AL*
LPL 05 03 05 18 – Renewal Application for a Claims Made and Reported LPL Policy – CO*
LPL 09 03 07 17 – Renewal Application for a Claims Made and Reported LPL Policy – FL*
LPL 14 04 01 19 – Renewal Application for a Claims Made and Reported LPL Policy – IA*
LPL 15 03 07 18 – Renewal Application for a Claims Made and Reported LPL Policy – KS*
LPL 17 03 12 16 – Renewal Application for a Claims Made and Reported LPL Policy – LA*
LPL 20 03 10 17 – Renewal App for a Claims Made and Reported LPL Policy – MA*
LPL 19 03 03 16 – Renewal App for a Claims Made and Reported LPL Policy – MD*
LPL 29 05 12 16 – Renewal App for a Claims Made and Reported LPL Policy – NJ*
LPL 30 03 03 19 – Renewal App for a Claims Made and Reported LPL Policy – NM*
LPL 31 13 11 22 – 50% CEIL Renewal App for Claims Made/Reported LPL Policy – NY*
LPL 31 15 11 22 – 100% CEIL Renewal App for Claims Made/Reported LPL Policy – NY*
LPL 31 17 11 22 – 100% CEOL Renewal App for Claims Made/Reported LPL Policy – NY*
LPL 41 03 09 17 – Renewal App for a Claims Made and Reported LPL Policy – TN*
LPL AP 01 12 16 – Renewal App for a Claims Made and Reported LPL Policy – TX*
LPL 45 03 07 17 – Renewal App for a Claims Made and Reported LPL Policy – VA*
LPL 46 01 08 15 – Renewal App for a Claims Made and Reported LPL Policy – WA*

Supplemental Applications

Countrywide
State-Specific

Policy Forms & Endorsements

No Known Loss Certification*

This section of our “Tools and Resources” portal is temporarily unavailable. Please contact your Producer Relations Advisor, call 570-825-9900 x 1500, or use the ASC webchat for requests for a specific form or endorsement. We apologize for any inconvenience.

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