BAR ASSOCIATION CYBER INSURANCE FORM

Please complete the following details for the entire company or group (including all subsidiaries) that is applying for the insurance policy.

Please Enter Primary Contact Information in this section.

Please indicate which limit options you would like to receive a quotation for (if cover is not required for a particular area please leave blank).
Cyber Crime covers of $250k is included in the coverage amount.
Please confirm whether you offer any escrow services relating to real estate transactions.