Errors and Omissions Applications and Forms
Travelers 1st Choice+® for professionals
Professionals operating in today's increasingly litigious environment can easily be subject to allegations by unhappy clients who may feel they've been harmed by their actions or inactions. Travelers 1st Choice+® provides exceptional professional liability/errors and omissions coverage that can be customized to the unique risks faced by an assortment of professionals.
Applications and forms:
Applications
- Pick-A-Premium Application - Complete this application only if the firm: 1) has gross annual revenues of $100,000 or less, and 2) has revenue derived only from Bookkeeping/Write-ups/Payroll, Review, Compilation, Personal Financial Planning, Investment Advisory, Tax-Business, Tax-Individual, Tax-Estate and Trust, Management Advisory, Hardware/Software Consulting and Sales, or Forensic Accounting/Litigation Support/Investigative Accounting Services.
- New Business Application
- Renewal Application
- Acknowledgement and Acceptance of Competitor's Application
- Specified Client or Project Additional Limit
- Limit or Deductible Change Request Form
Supplemental Applications
- Audit Services Supplement
- Claim, Suit or Incident Supplement
- Executor, Administrator, and Trustee Supplement
- Insolvency Supplement
- Outside Interest Supplement
- Personal Financial Planning and Investment Advice Supplement
- Securities Supplement
- Separate Entity Supplement
State Application Notices
- California
- Illinois
- Minnesota
- Montana - Defense Within Limits
- New York - Claims Made
- New York - Defense Within Limits
Sample Policy Forms
Applications
- Design Professionals Pick-A-Premium Application
- Design Professionals Application
- Design Professionals Renewal Application
- Specified Project or Client Additional Limit
- Acknowledgement and Acceptance of Competitor's Application
- Limit or Deductible Change Request Form
Supplemental Applications
- Claim, Suit or Incident Supplement
- Condominium Supplement
- Design Build Supplement
- Environmental Supplement
State Application Notices
- California
- Illinois
- Minnesota
- Montana - Defense Within Limits
- New York - Claims Made
- New York - Defense Within Limits
Sample Policy Forms
Applications
- Lawyers Small Firm Application - New and Renewal. The Lawyers Small Firm Application is for firms with 10 attorneys or less, requesting $2,000,000 or less in each claim limits, and have no services in Class Action/Mass Tort, Securities or Bonds, or Patent.
- Lawyers New Business Standard Application
- Lawyers Renewal Standard Application
- Acknowledgement and Acceptance of Competitor's Application
- Specified Client or Project Additional Limit
- Limit or Deductible Change Request Form
Supplemental Applications
- Claim, Suit or Incident Supplement
- Estates and Trusts, Plaintiff and Real Estate Supplement - for use with the Small Firm Application
- Additional Location(s) Supplement
- Bankruptcy & Collections Supplement
- Entertainment Practice Supplement
- Environmental Practice Supplement
- Estates & Trusts Supplement
- Fee Collection Supplement
- Financial Institutions Practice Supplement
- Intellectual Property Practice Supplement
- Large Law Firm Supplement
- New Attorney Information Supplement
- Oil/Gas/Minerals Supplement
- Outside Interest Supplement
- Plaintiff Litigation Practice Supplement
- Real Estate Practice Supplement
- Securities Supplement
- Tax Supplement
- Title Agency Supplement
State Application Notices
- California
- Illinois
- Minnesota
- Montana - Defense Within Limits
- New York - Claims Made
- New York - Defense Within Limits
Sample Policy Forms
- Specimen Policy
- Specimen Policy - for New York insureds only
Applications and Supplemental - Coverage is not available for firms domiciled in CA, HI and LA.
- Real Estate Services New Business Application
- Real Estate Services Renewal Application
- Pick-A-Premium Application - Only for firms of $100,000 or less in gross commissions and fees.
- Real Estate Professional Other Services Supplement - To be completed with New and Renewal application if Property Management, Auctioneering, Appraising, Vacation Rental or Construction Development Services are offered.
- Sale of Certain Constructed or Developed Property Supplement - To be completed with New and Renewal application if Constructed/Development services are offered.
State Application Notices
- Illinois
- Minnesota
- Montana - Defense Within Limits
- New York - Claims Made
- New York - Defense Within Limits
Sample Policy Forms
- Specimen Policy
- Specimen Policy - for New York insureds only
Miscellaneous professional liability
Miscellaneous professional liability coverage is designed to protect a wide variety of professionals. Please refer to MPL application and industry-specific supplements below.
Applications and forms:
Applications
- New Business
- New Business- CA, WA Only
- Renewal
- Renewal - CA, WA Only
- New Business- VT
- Renewal- VT
MPL Industry Specific
The following industry-specific applications are supplements to the main application for Professional Liability Errors & Omissions Insurance (see above for New Business or Renewal Applications) and are not available in PR and VT.
- Adjuster Liability
- Advertising Agencies
- Arbitrators or Mediators
- Associations
- Consultants
- Couriers
- Document Management/Shredding/Data Destruction
- Employment Agencies
- Event or Meeting Planners
- Franchisors
- Freight Forwarders
- Graphic Designers
- Human Resource Consultants
- Marketing Consultants
- Medical Billing
- Plan Administration
- Public Relations Firms
- Publishers
- Telemarketers/Call Center
- Travel Agents or Tour Operators
- Trustees
State Application Notices
- California
- Illinois
- Louisiana
- Minnesota
- Montana - Defense Within Limits
- New York Duty-to-Defend Disclosure Notice - attach to all NY applications and declarations
- New York Claims-Made Disclosure - attach to all NY applications and declarations
Sample Policy Forms
Professional liability for financial institutions and insurance companies
Travelers provides professional liability errors and omissions coverages for financial institutions and insurance companies.
Applications and forms:
Applications - SelectOne+®
Supplemental Application
State Application Notices
- California
- Illinois
- Louisiana
- Minnesota
- Montana - Defense Within Limits
- New York Duty-to-Defend Disclosure Notice - attach to all NY applications and declarations
- New York Claims-Made Disclosure - attach to all NY applications and declarations
Sample Policy Forms
Applications - SelectOne+®
State Application Notices
- California
- Illinois
- Louisiana
- Minnesota
- Montana - Defense Within Limits
- New York Claims-Made Disclosure- attach to all NY applications and declarations
- New York - Defense Within Limits
Sample Policy Forms
Applications - SelectOne+®
- New Business- Multi-Coverage Application
- Renewal - Multi-Coverage Application
- New/Renewal - Small Investment Advisers Multi-Coverage Application (for use by Registered Investment Advisers with up to $2 Billion in Assets Under Management and do not manage investment funds)
- Private Equity Real Estate Questionnaire - Supplemental Application
State Application Notices
- California
- Illinois
- Louisiana
- Minnesota
- New York Claims-Made Disclosure - attach to all NY applications and declarations
- New York - Defense Within Limits
Sample Policy Forms