Forms Download Forms: Physician's and Surgeon's Professional Liability Application: Word Version / PDF Version Physician's and Surgeon's Professional Liability RENEWAL Application: Word Version / PDF Version Claim/Suit/Complaint Information Addendum: PDF Version Account Submission All submissions should include the following elements: A completed PPF application. Loss Runs for the previous 10 years (or for the time of practice if less). Supplemental Claims information for all open and closed claims. A statement by legal counsel if previously self insured of any claims requiring response. Doctor's CV Submit Completed Applications to: Fax: 800-978-2650 Email: underwriting@practiceprotection.org