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Lawyers Liability Request Received

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Are you looking for other lines of insurance for your law firm?

Interested in Additional Insurance Options?

Cyber Liability Insurance

Business Owner's Package (BOP)

Workers Compensation

Cyber Liability Insurance

Company Name (required)

Website Domain (required)

Estimated Annual Revenue (expected over the next 12 months) (required)

Has the applicant ever suffered a cyber incident resulting in a claim? (required)

Yes

No

Please explain: (required)

Does the applicant enable disk encryption on laptops, desktops, and other portable media devices? (required)

Yes

No

Sometimes

Does the applicant have procedures to back up, archive, and restore sensitive data and critical business systems? (required)

Yes

No

Does the applicant electronically transfer funds? (required)

Yes

No

Does the applicant have appropriate safeguards when transferring funds (e.g. verifying vendor bank accounts, unauthorized employees prevented from initiating transfers, and calling the customer at a predetermined phone number to confirm the request)? (required)

Yes

No

If you have not previously transferred funds, will the above safeguard be required if transfers occur in the future? (required)

Yes

No

Do you enforce MFA for email services? (required)

Yes

No

Do you enforce MFA for Virtual Private Network (VPN), Remote Desktop Protocol (RDP), RDWeb, RD Gateway, or other remote access services? (required)

Yes

No

Do you enforce Multi-Factor Authentication (MFA) for Network/cloud administration or other privileged user accounts services? (required)

Yes

No

Business Owner's Package (BOP)

Form of Business (required)

Sole Proprietor

Corporation

Partnership

Limited Liability Corporation (LLC)

Other

Description of Business/Services provided: (required)

Employer ID # (FEIN) (required)

# of Years in Business (required)

# of Years Experience (required)

Annual Receipts/Revenue $ (required)

Annual Payroll (required)

Number of Owners/Officers/Partners (required)

If a law firm, how many attorneys?

Total # of Full Time Employees (required)

Total # of Part Time Employees (required)

Are Subcontractors and/or Independent Contractors Used? (required)

Yes

No

Total # of Full Time Employees (required)

Workers Compensation

Untitled

Email

This field is for validation purposes and should be left unchanged.

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Daniels-Head Insurance Agency

1001 S. Capital of TX Highway
Suite M-100
West Lake Hills, TX 78746

Phone: (512) 881-8461 or (833) 629-7681
Fax: (877) 839-6107

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