Applications

Once application is complete and signed, please fax to either our Vernon Hills, IL office at (847) 816-4484 or to our Phoenix, AZ office at (480) 961-3874.

Accountants

Accountants

[Download application]

Architects & Engineers

Acoustical Engineers	[Download application]
Architects	[Download application]
Civil Engineers	[Download application]
Construction Managers	[Contact PLBC]
Design/Build Contractors	[Download application]
Electrical Engineers	[Download application]
Environmental Engineers	[Download application]
Forensic Engineers	[Download application]
HVAC Engineers	[Download application]
In-house Design Professionals	[Download application]
Interior Designers	[Download application]
Landscape Architects	[Download application]
Land Surveyors	[Download application]
Manufactured Products/Design	[Download application]
Mechanical Engineers	[Download application]
Specific Project	[Download application]
Structural Engineers	[Download application]
Testing Laboratories	[Contact PLBC]
Transportation Engineers	[Download application]
Urban Planners	[Download application]

Directors & Officers of corporations and non-profit organizations

For Profit Private Company	[Download application]
For Profit Public Company	[Download application]
Non-Profit Organizations	[Download application]

Employment Practices Liability

Employment Practices Liability	[Download application]
Employment Practices Liability in New York	[Download application]
Employment Practices Liability in Illinois	[Download application]

Environmental

Asbestos Consultant	[Download application]
Environmental Contractor	[Download application]
Environmental Testing Laboratory	[Download application]
Hazardous Waste Consulting	[Download application]
Lead Consultant	[Download application]
Waste hauler	[Download application]

Fiduciary

Fiduciary

[Download application]

Financial Firms

Collection Agency	[Download application]
Escrow Agents	[Download application]
Investments Advisors/Financial Planners	[Download application]
Stock Brokers	[Download application]
Tax Preparers	[Download application]
Third Party Benefit Plan Administrators	[Download application]
Trustees	[Download application]

General Liability & Products Liability

General Liability - Hard to Place	[Contact PLBC]
Manufactured Products/Design	[Download application]
Products and Completed Operations including aircraft and medical products	[Download application]
Product Recall Coverage	[Download application]

Insurance Agents

Insurance Consultants	[Download application]
Life Agents	[Download application]
Managing General Agents (MGAs)	[Download application]
National and Regional Brokers	[Download application]
New Start-up Agencies	[Download application]
Speciality Brokers	[Download application]
Surplus Lines Brokers	[Download application]
Wholesalers	[Download application]

Lawyers

Up to 10 years in practice	[Download application]
Over 10 years in practice	[Download application]

Media Coverage

Advertising Agency/Public Relations	[Download application]
Authors	[Contact PLBC]
Book Publishers	[Contact PLBC]
Broadcasters (Radio, Television, Cable)	[Contact PLBC]
Copyright Trademark Infringement	[Contact PLBC]
Film/Program Producers	[Contact PLBC]
Magazine Publishers	[Contact PLBC]
Multimedia Companies	[Contact PLBC]
Newspaper Publishers	[Contact PLBC]
Personal Appearances by Celebrities	[Contact PLBC]
Printers	[Download application]

Medical Malpractice

Ambulance Service	[Download application]
Beauty/Nail Salon	[Download application]
Clinics	[Download application]
Cosmetic Surgery	[Download application]
Diagnostic Imaging	[Download application]
Employed or Student Professional	[Contact PLBC]
Fitness Center/Instruction/Health Club	[Download application]
Healthcare Services	[Download application]
Home Healthcare Agencies	[Download application]
Hired and Non-owned auto	[Download application]
Long-term Care Facilities	[Download application]
Managed Health Care	[Download application]
Medical Director	[Download application]
Medical Health Counseling Service/Clinics	[Download application]
Medical Laboratories	[Download application]
Other Medical Malpractice	[Download application]
Medical Personnel Services	[Download application]
Pharmacist/Pharmacy	[Download application]
Physical, Occupational, Speech Therapy	[Download application]
Physicians and Surgeons	[Download application]
Product Rental	[Download application]
Social Workers	[Download application]
Specified Medical Professions	[Download application]

Other Professionals

Auctioneers	[Download application]
Claim Adjusters	[Download application]
Computer/Electronic Data	[Download application]
Consultants	[Download application]
Custom House Brokers/Freight Forwarders	[Download application]
Cyber Liability	[Download application]
Employee Leasing	[Download application]
Employment Agency/Executive Search	[Download application]
Franchisers	[Download application]
Interior Decorators	[Download application]
Seedsmens	[Download application]
Technical Consultants	[Contact PLBC]
Travel Agency/Tour Operations	[Download application]

Real Estate & Property Management

Appraisers	[Download application]
Home Inspectors	[Download application]
Home Inspectors who deal with lead, asbestos, mold, etc.	[Download application]
Mortgage Bankers	[Download application]
Mortgage Brokers	[Download application]
Real Estate Agents & Brokers	[Download application]
Real Estate Operations including Property Management	[Download application]
Title Abstractors and Title Agents	[Download application]

Public Officials

Airport Authorities	[Contact PLBC]
Economic Development Councils	[Contact PLBC]
Fire, Water and Drainage Districts	[Contact PLBC]
Public entities	[Contact PLBC]
Public Utilities	[Contact PLBC]
Road Districts	[Contact PLBC]

School Boards

School Board Members

[Contact PLBC]