Wic lpl app 01md form 2025

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The document is an application form for Lawyers Professional Liability Insurance, specifically a Claims Made and Reported Policy, administered by USI Affinity on behalf of Wesco Insurance Company. It requires detailed information about the applicant law firm, including its structure, insurance history, practice areas, and any claims or incidents that may affect coverage. The form emphasizes the importance of reporting known circumstances that could lead to claims and includes sections for firm profiles, risk management practices, and supplemental claim information.

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