Printable Applications

Please note Lawyers Mutual Insurance Company of Kentucky offers a claims-made policy for professional liability insurance. A claim made policy applies only to claims first made during the policy period or any extended reporting period. The limit of liability available to pay damages will be reduced and may be exhausted by claims expenses and claims expenses will be applied against the deductible amount.

Please complete the application and all supplemental forms. Write n/a on forms not applicable to the Firm and sign and date them. Upon receipt of a completed application, a binding premium quotation and language for a warranty wording letter will be mailed to you. This letter on the Firm's letterhead warrants that you have not become aware of any error, incident, act, or omission which might fall within the scope of the requested insurance since the application was submitted. Once we receive the warranty wording letter and premium payment, we will send the Firm a policy of insurance.

To facilitate the continuity of your insurance once insured by us, a pre-printed renewal application is forwarded to you several weeks prior to your insurance renewal date. To obtain a renewal premium quotation, you need only make corrections and additions on the pre-printed application, sign, date, and return it to our office.