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Download WILMIC Applications

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If you’d rather not apply online, just download and print the PDF applications below, and fill in the required areas. Once completed, please mail your completed application to:

  • WILMIC
  • 5302 Eastpark Blvd, Suite 200
  • Madison, WI 53718

Questions?

If you have additional questions or you are interested in different policy terms, please contact our underwriting department at (608) 824-1700, or via e-mail.

Application for established Lawyers

Application for Newly Admitted Lawyers

Additional Lawyer Application

Supplemental Reporting Form

Supplemental Coverage

For certain types of law practices, additional coverage may be necessary for complete security. We offer several supplemental coverage options to better serve these practices.

About Us

Since 1986, thousands of Wisconsin attorneys and firms have relied upon WILMIC for quality professional liability insurance coverage, superior claims administration, risk management and customer service.

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Contact Us

  • WILMIC
    5302 Eastpark Blvd, Suite 200
    Madison, WI 53718
  • General: (608) 824-1700
  • Mon-Fri: 8:00 a.m.- 4:30 p.m.
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