C&R Insurance Services, LLC

The Region’s Leading Lawyers’ Liability Provider

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Pennsylvania Liability Insurance Application

Looking for affordable, quality coverage for your law firm? Submit this Pennsylvania liability insurance application to receive a free quote.

Do you practice law in a different state? Head over to our Get A Quote page.

  • 1. Please list all attorneys practicing on behalf of your firm. Add an attachment if necessary
  • Designation Code: E = Member/Employee of the Firm, OC = Of Counsel/Independent Contractor and F = Full Time, P = Part Time (26 hours or fewer per week)

  • 5. Please list the limit of liability and deductible currently carried and circle the appropriate type of limit and deductible. Select the limit and deductible requested.


  • CURRENT
  • Defense Costs Part of the Limit * Defense Costs Outside the Limit
  • Per Claim Aggregate Loss Only


  • DESIRED (minimum limit $500,000)
  • Defense Costs Part of the Limit * Defense Costs Outside the Limit
  • Per Claim Aggregate Loss Only

  • 6. Please provide the percentage of gross billable dollars allocated to each Area of Practice. Please round to the nearest whole number. Total must equal 100
  • Please enter a number from 0 to 100.
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  • Business organization:
  • Please enter a number from 0 to 100.
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  • SECURITIES LAW
  • Please enter a number from 0 to 100.
  • Please enter a number from 0 to 100.
  • Please enter a number from 0 to 100.
  • must total 100%

  • NOTICE TO NEW YORK APPLICANTS: Any person who knowingly and with intent to defraud any Insurance Company or other person files an application for insurance or statement of claims containing any materially false information, or conceals for the purpose of misleading information concerning any fact material thereto, commits a fraudulent insurance act, which is a crime, and shall also be subject to a civil penalty not to exceed five thousand dollars and the stated value of the claim for each such violation.

C&R INSURANCE SERVICES, LLC.

987 Old Eagle School Road
Suite 715 Wayne, PA 19087
P: (800) 637-7543
F: (888) 330-5510

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