Professional Liability
Management Liability
& Specialty Insurance

Applications - Professional Liability/Errors & Omissions Insurance

Prior to completing your professional liability insurance application, please first verify that your state is on the list of states we serve. Complete your application and return to us by either email (scan of signed application) or fax (310-796-9054). Do not hesitate to call us if you have any questions regarding your application. If you already have a recently completed application from a different broker or insurance company, we will gladly accept it.

CB Malaga Insurance Services LLC operates in the following states: Arizona, Arkansas, California, Colorado, Connecticut, Delaware, Florida, Georgia, Illinois, Indiana, Iowa, Kansas, Louisiana, Maine, Maryland, Michigan, Minnesota, Missouri, Nebraska, Nevada, New Jersey, New York, North Carolina, North Dakota, Ohio, Oregon, Pennsylvania, Tennessee, Texas, Utah, Vermont, Washington, Wisconsin, Wyoming.

Lawyers
Solo Lawyers & Small Law Firms Application
Law Firms Application
Employed Lawyers (Corporate/In-house) Application

Financial Advisers
Financial Advisers Application
Financial Planners/Consultants/Analysts (No investment advice) Countrywide|MO|NY|WA Suppl.
Broker-Dealers and Registered Representatives Application

Accountants, CPAs, Tax Preparers, Enrolled Agents, Bookkeepers
Countrywide Application
Missouri Application
Supplement #1 - Claims Supplement
Supplement #2 - Audit Engagements Supplement
Supplement #3 - SEC Information Supplement
Supplement #4 - Financial Institution Supplement
Supplement #5 - Public Company Audit Supplement

Architects & Engineers
Architects & Engineers Application

Insurance Agents / Agencies / Brokers / Brokerages
Insurance Agents - P&C - Less than 3 Years of Experience Application
Insurance Agents - P&C - At least 3 Years of Experience Application
Insurance Agents - Life/Health Only - Policy limits up to $1 million Application
Insurance Agents - Life/Health Application
Wholesalers - P&C Application
Wholesalers - Life/Health Application
MGAs/MGUs Application
Reinsurance Intermediaries Application

Actuaries
Actuaries - Pension Application
Actuaries - P&C, Life, Health Application

Risk Managers
Risk Managers - Risk Management Consultants Application

Third Party Administrators and Benefit Consultants
TPAs and Benefit Consultants Application

Mortgage Brokers & Mortgage Bankers
Mortgage Brokers & Bankers - All states except Colorado Application
Mortgage Brokers - Colorado - Philadelphia Ins. Co. Application

Real Estate Professionals
Please visit our real estate website www.reproinsurance.com

Technology - All Specialties
Integrated Technology Application

All Other Professionals
All Others Application
Advertising Agencies Application
Appraisers - Non Real Estate Countrywide|MO|NY|WA Suppl.
Arbitrators and Mediators Application
Claim Adjusters - Claim Consultants Countrywide|MO|NY|WA Suppl.
Corporate Trainers Countrywide|MO|NY|WA Suppl.
Document Management/Shredding/Data Destruction Application
Employment Agencies Application
Franchisors Application
Freight Forwarders Application
Graphic Designers Application
Handwriting Analysts Countrywide|MO|NY|WA Suppl.
Human Resource Consultants Application
Management Consultants Countrywide|MO|NY|WA Suppl.
Marketing Consultants Application
Medical Billing Application
Public Relations Firms Application
Publishers Application
Technical Writers Countrywide|MO|NY|WA Suppl.
Telemarketers and Call Centers Application
Travel Agents and Tour Operators Application