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Please fill in the worksheet below and answer every question. When you've finished, scroll down and "click" Submit
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Contact Information (if you completed the registration form, fill in your contact name and skip to Firm Information)
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Mailing Address (if different)
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Firm Information
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Date Current Firms was established
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Of the attorneys, how many are "Of Counsel"?
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Is this a Full-Time Practice of Law?
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Estimated Annual Gross Income?
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Internal Controls
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Do you maintain a Docket Control System with at least two independent date controls
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Is one Docket Control System computerized?
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Do you maintain a Conflict of Interest System?
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Do you use Engagement and Non-Engagement Letters on a regular basis?
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Current Insurance
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Do you have Professional Liability Insurance now?
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If yes, complete the following
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Insurance Company (not Agency)
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Limits Of Insurance (per occurrence/aggregate)
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Retroactive or Prior Acts Date
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Date of first continuous claims made coverage
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Claim & Discipline History
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Are you aware of any claims against your firm or any incidents that could result in a
claim against your firm within the past five years?
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Has any member of the applicant firm been refused admission to practice,
disbarred, suspended, reprimanded sanctioned or held in contempt by a court,
administrative agency or regulatory body?
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If "YES", please provide details.
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Areas Of Practice (fill in only the areas that are applicable)
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Investment Counseling/Money Management
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Admiralty/Maritime - Defense
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Admiralty/Maritime - Plaintiff (1)
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Antitrust/Trade Regulation
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Labor Litigation - Defense
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Labor Litigation - Plaintiff
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Banking/Financial Institutions
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Litigation - Commercial - Defense
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Litigation - Commercial - Plaintiff
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Municipal, Governmental - Zoning & Planning
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Municipal, Governmental - Other (Not Bonds)
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Civil Rights/Discrimination
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Collection/Repossession/Foreclosures
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Real Estate - Escrow Agent
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Real Estate - Residential
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Copyright/Trademark (Not Patent)
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Corporate - Formation/Alteration
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Real Estate - Syndication, Development
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Securities, Bonds, Secured Transactions
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Domestic Relations/Family/Juvenile
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Social Security, Elder Law
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Tax - Corporate, Business Opinions
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Employee Benefit Plans/ERISA
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Tax - Corporate, Business Preparation
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Environmental - Litigation
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Workers Compensation - Defense
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Estate/Estate Planning/Probate/Trusts/Wills
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Workers Compensation - Plaintiff
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Foreign (Non-US Law)/International
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Other - Describe in detail
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The above must total 100%
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Click the "Submit" button to send me what you've entered.
You'll then be sent to the last page of this form, "Lawyer Census"
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