Notice of New Claim or Potential Claim for LPL, Cyber, or EPLI*
Upon successful submission of your notice of claim or potential claim, you will receive an automated response or “bounce-back” email advising you that ALPS received your communication. If you do not receive an automated response, your notice did not reach our system. Thank you for your cooperation and caution in reporting. Have a great day! *ALPS Lawyers' Professional Liability claims are handled directly by ALPS. Cyber and EPLI claims are handled by The Beazley Group.
Please select whether your policy number begins with ALPS, CYBER, EPLI, or AAMP.
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ALPS
CYBER
EPLI
AAMP
Name of Firm
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Please list the Named Insured as listed on the declarations page of your policy.
Location of Firm (City)
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Location of Firm (State)
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Name of Responsible Attorney(s)
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The name of the attorney(s) named in the claim or potential claim/responsible for potential error.
Name of Contact Attorney
The attorney ALPS can contact to discuss this matter, if different from Responsible Attorney.
Contact Attorney's Email Address
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example@example.com
Contact Attorney’s Cell Phone or Direct Line for Confidentiality Purposes
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Enter a 10-digit phone number, e.g. (000) 000-0000.
Name of Claimant
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The name of the party who is or may assert a claim. For Cyber claims, please enter CYBER.
Date of Alleged Error/Loss
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-
Month
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Day
Year
Or, approximate date of potential error/loss if unknown.
Claim in litigation? (If yes, attach pleadings in the document upload field below.)
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Yes
No
Written demand or accusation? (If yes, attach demand/correspondence in the document upload field below.)
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Yes
No
Brief Description of Allegations or Error
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Pleadings, Demand/Correspondence, Additional Information Document Upload
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Upon successful submission of your notice of claim or potential claim, you will receive an automated response or “bounce-back” email advising you that ALPS received your communication. If you do not receive an automated response, your notice did not reach our system. Thank you for your cooperation and caution in reporting. Have a great day!
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