Online Loss Reporting
Lawyers Professional Liability Claim or Potential Claim
Welcome to the CNA website for reporting a new loss. Note: required fields are shown in bold.
1. Insured Information
Insured Name:
Policy Number:
Contact Name:
Telephone Number: - -
Fax Number: - -
To receive a claim acknowledgement, please enter your e-mail address:
2. Claim Information
Specific Act or Omission:
Date of alleged act or omission: / / [MM/DD/YYYY]
Date firm became aware of claim or incident: / / [MM/DD/YYYY]
Attorney(s) Involved:
Claimant(s) Name(s):
Circumstances by which the insured first became aware of the claim:
 
3. Additional Remarks
Enter any additional remarks you would like to make in the space below:

4. Validation
Enter the code displayed in the image below into the text box.




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