Apply Now

1. DOWNLOAD PDF APPLICATION FORM

Please click the link below to access the PDF application. Download the PDF document to your computer, complete all necessary fields, save the file and submit it via our online upload tool in Step #2 to the right.

If you prefer, you may also submit your application via email or traditional mail once completed. Please ensure that a copy of the firm’s CURRENT LETTERHEAD is included with your submission.

If you don’t have Adobe Reader, click here to download for free.

Note: If you are experiencing issues filling out the PDF form in your web browser, please try troubleshooting with one of these steps:

1.) Download the latest version of Google Chrome. Once downloaded, open a new browser window and fill out the application.

2.) Download the application form (PDF) from this page and complete the application in Adobe Reader.

• New Policy Application
• Description of Practice Areas for Informational Purposes
• Supplemental Claim Information
• Supplemental Securities Information
• Add a Lawyer to Your Policy
• Change of Address
• Change of Business Name
• Request for Attorney Change

2. SUBMIT YOUR
APPLICATION FORM

Submissions via Email:

Please send your application and a copy of the firm’s CURRENT LETTERHEAD to applications@flmic.com.

Submissions via Traditional Mail:

Florida Lawyers Mutual Insurance Company
541 East Mitchell Hammock Rd.
Oviedo, FL 32765