Applications/Supplements


For your convenience, Lawyers Insurance Advantage applications and supplements are available in both Word and PDF formats.

To complete an electronic application/supplement and email directly to LIA :

  1. Choose the appropriate form from the list at left
  2. Open the Word document and save to your desktop
  3. Complete the form at your convenience
  4. E-mail completed form to: submissions@lawyersinsadvantage.com

To print form, complete and fax/mail to LIA :

  1. Choose the appropriate form from the list at left
  2. Open the PDF file
  3. Print the form
  4. Complete the form and:
    a. Fax to 913-652-3981 OR
    b. Mail to LIA at the address shown below