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Professional liability applications

Send us your submissions today

Applications and submission requirements

To expedite the underwriting and quoting process, all applications are posted below.

We require the following for a complete submission:

Completed PUA PL application

Full claims details, including 5 years minimum hard copy loss runs

Current project listing

Expiring premium/target premium

Send us your submissions online or to [email protected].
Need a quote today? Call us at 630.861.2330!

Interested in getting appointed?

We’re expanding our network of retail agents! If you have a book of professional liability insurance ($100,000+ annual gross written premium) and are looking to grow your business, let’s talk!

PUA applications

Architects & engineers

Design-build & contactors

Miscellaneous professional liability

Special financing available

Your clients have the option to finance their premiums through our partnership with First Insurance Funding. This allows them to make monthly payments and conveniently manage their account online.


Sandip R. Chandarana, J.D., CPCU, RPLU
Program Director

With a career dedicated exclusively to the professional liability space, Sandip Chandarana leads the PUA team in delivering industry-leading expertise, risk management and insurance solutions.

[email protected]

We are here to help

Call us at 630.861.2330 or send a submission and request more information.