Request an Individual Quote

Please complete the following information to allow us to provide you with a personalised quotation.   Once submitted, your information will be reviewed by one of our specialists who will respond to you within 24 hours.  

First Name *

Surname *

Name of Chambers *

Telephone

E-mail*

Limit of Indemnity required in excess of £2.5m *

2.5m5m7.5m10m12.5m17.5m22.5m27.5m32.5m37.5m47.5m67.5m97.5m122.5m

Are more than 25% of the Gross Fees you received in the last calendar year derived from Revenue Non-Crown non-contentious work (Bar Mutual Code WF)? *

YesNo

Are more than 25% of the Gross Fees you received in the last calendar year derived from the supply of Legal Services as a Practising Barrister to Lay Clients known to be domiciled in the United States of America or Canada where the substantive applicable law was NOT English Law?

YesNo

If so, please advise the percentage

In the last 10 years, have any claims been made against you, or any intimation received from any person of any intention to make a claim against you, where the quantum potential of any such claim or intimation exceeds £500,000?*

YesNo

If yes, please e-mail details to barristers@tloinsurance.co.uk after submitting this form

I declare that the content of this declaration is true and that I have not misstated, omitted or suppressed any material fact or information. I agree that this proposal together with any other information supplied by me shall form the basis of any contract of insurance which may be effected. If required, I hereby authorise Bar Mutual to release details of my fee income, areas of practice and claims history, to enable TLO Insurance Services Limited to negotiate with Underwriters.

Declaration *

Please leave this field blank