Fillable KINSALE Plaintiff Litigation Supplement

Fill Online, Printable, Fillable, Blank KINSALE Plaintiff Litigation Supplement Form

Use Fill to complete blank online KINSALE INSURANCE pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

KINSALE Plaintiff Litigation Supplement

On average this form takes 12 minutes to complete

The KINSALE Plaintiff Litigation Supplement form is 2 pages long and contains:

  • 1 signature
  • 10 check-boxes
  • 39 other fields

Country of origin: US
File type: PDF

Use our library of forms to quickly fill and sign your Kinsale Insurance forms online.

BROWSE KINSALE INSURANCE FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
Page 1 of 2
PLAINTIFF LITIGATION SUPPLEMENT
1. Describe the
types of cases handled with percentages for each
, to total 100%:
Auto Related __________% Medical Malpractice __________%
Admiralty __________% Products Related Injury __________%
Aviation __________% Toxic Tort __________%
Asbestos __________% Sexual Harassment __________%
Bodily Injury __________% Tobacco __________%
(non-medical malpractice) Veterans __________%
Breast Implant __________% Workers Compensation __________%
Discrimination __________% Wrongful Death __________%
General Liability __________% Other (describe) ______________________
2. What is the firm’s average litigation case load per year?
3. What percentage of the firm’s litigation cases are settled before trial?
4. What percentage of the firm’s litigation cases are tried to a verdict?
5. What percentage of the firm’s litigation cases are handled on a contingency fee basis?
6. What is the estimated average dollar size of judgments, awards and settlements in the litigation cases
handled by the firm?
7. What is the largest judgment, award or settlement in a litigation case achieved by the firm in the past five
years?
8. Does the firm take litigation case referrals from other law firms? Yes No
If Yes, please indicate the approximate number of cases and the types involved.
9. Does the firm refer clients, cases or work to other law firms? Yes No
10. If Yes to # 9, please provide the following information:
a. The approximate number of such clients/cases/work for the past 12 months?
Next 12 months?
GENERAL INFORMATION
Kinsale Insurance Company
P. O. Box 17008
Richmond, VA 23226
(804) 289-1300
www.kinsaleins.com
Page 2 of 2
b. Description of the type of clients/cases/work you refer to other law firms?
c. Before referring, do you always confirm that the working attorney is admitted to Yes No
practice and in good standing with the bar of the jurisdiction at issue?
If No, please explain:
d. Do you always verify the working attorney has adequate malpractice insurance by Yes No
requesting a copy of his/her insurance declarations page or a certificate of insurance?
If No, please explain:
e. Please describe any other measures used by you to verify the qualifications and reputation of a
prospective working attorney to whom you refer clients/cases:
11. For the clients/cases/work referred to other law firms, please categorize the arrangements in place:
a. Refer to another firm and you receive no fee: %
b. You receive a fee but will not be doing any of the work: %
c. You refer but will continue to work on the file along with the
other attorney: %
d. Other: %
Must total 100%
12. Has the firm been involved in any class action plaintiff cases within the past five years? Yes No
If yes, please complete a Class Action/Mass Tort supplemental application.
I/We agree and understand this supplement becomes part of the application which forms a part of the policy. This
information is true and correct to the best of my/our knowledge.
Signature of Applicant/Title/Date (Must be signed by a Principal, Partner, or Officer of the Firm)
click to sign
signature
click to edit
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

KINSALE Plaintiff Litigation Supplement

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 2 July 2020

Message

View Audit Log
Print With Audit Log
Duplicate Document