Best's Insurance Professionals

Applicant for Best’s Directory of Insurance Attorneys

This data is required to establish eligibility for your firm and create a permanent file.
Bold fields are required.

Firm Name:

Year Established:

Street Address 1:

Street Address 2:

City:

State/Province:

Country:

Zip/Postal Code:

Firm Telephone:

Firm Email:

Firm Fax Number:

Firm Website:

Mailing Address:

Address/P.O. Box: City: State: Zip:

Contact Person:

Title:

Contact Telephone:

Contact Email:

Classification of Firms Primary Insurance Practice Areas

Please advise % of your firms:

(A)- Defense Practice:

(C)- Plaintiff Practice:

(B)- Subrogation Practice:

(D)- Other:

Do you handle adjustments and investigations for insurance companies?

Total Number of firm members:

Partners: Associates: of Counsel:

Important: Please list contact names and addresses of insurance company and non-insurance company clients below:

A minimum of two Clients is required in order to process.
Only include one contact for each Client.
Include name and complete address of individual branch office or department for Client where verification letter will be sent.

Client 1:

Client Firm Name: Contact Person: Title:

Street Address /P.O. Box: City: Country: State/Province:

Zip/Postal Code: Firm Telephone: Fax: Email: No. of Years Rep.:

Client 2:

Client Firm Name: Contact Person: Title:

Street Address /P.O. Box: City: Country: State/Province:

Zip/Postal Code: Firm Telephone: Fax: Email: No. of Years Rep.:

Client 3: