|
Fee Income |
| Gross
Fees last Return to Law Society |
£ |
| Estimated
fees NEXT Return |
£ |
Has
fee income changed by > 20%
in last 3 years? If yes provide income
for earlier two years. |
£
£ |
Work Breakdown (Last financial year) |
Risk Management |
| a)
is a 'critical date' diary system in operation? |
|
b)
Is the practice accredited or in the process of being
accredited to BS EN ISO 9000 or Lexcel? |
|
c)
Is the work of assistant solicitors supervised by a partner
and subject to regular review meetings? |
|
| d)
Are all telephone conversations subject of a note on file? |
|
|
Claims and Circumstances ( last 10 years) |
| Please
give details of all claims paid or reserved below. You may fax your
SIF Claims summary and details of extra claims to 01708 721306 -
stating your request for a quotation - please enclose firms details so
we can tie up.
|
Are
you aware of any 'circumstances' (including complaints by clients
about your firm's professional services) which may lead to a claim
against you which you have not already notified to SIF
If YES please fax details
|
Insurance Details
|
| Limit
of indemnity Required |
|
| Excess
Required |
£ |
| Aggregate
Excess required |
|
| Last
Years SIF premium |
£ |
| Date
by which quote needed |
|
|
Basis of the contract
I/we declare that after full enquiry of all Partners
and staff, all claims and circumstances which may give rise to a claim
have been reported to SIF and that the statements and particulars of
this declaration are true and complete. I/we agree this declaration
and any other information supplied by me/us shall form the basis of
any contract of insurance effected thereupon. I/we undertake to inform
Insurers of any material alterations to these facts occurring before
completion of the renewal of my/our contract of insurance.
|
