Application for Continued Premium Exempt Status for Pro Bono Services on behalf of Non-profit Organizations
Any lawyer member of the Law Society of Upper Canada (LSUC) exempt from payment of Professional Liability Insurance premiums
who performs pro bono services on behalf of a non-profit organization(s), and who wishes to remain exempt,
must apply for a continuation of the lawyer member's eligibility for exemption using this form.
In completing this form, I confirm that:
1. I am currently exempt from the payment of Professional Liability insurance premiums under the LSUC insurance program.
2. I will perform pro bono professional services on behalf of a non-profit organization(s), and
apply for a continuation of my eligibility for an exemption from payment of Professional Liability insurance premiums.
Name of non-profit organization:
Address of non-profit organization:
Contact Person at non-profit organization:
The activity of the non-profit organization is (ie its purpose, services provided etc)
Is this non-profit organization a registered project with Pro Bono Ontario?
The pro bono professional services I will perform are:
The timeframe for the performance of these pro bono services is:
Please check this box to evidence your signature.
Please enter the number or phrase shown in the image above, in this space and click submit.
April 30, 2017
Real estate and civil litigation transaction levies and forms are due for the quarter ended March 31, 2017.
April 30, 2017
Exemption forms from lawyers not practising civil litigation or real estate and wanting to exempt themselves from quarterly filings are due.
July 31, 2017
Real estate and civil litigation transaction levies and forms are due for the quarter ended June 30, 2017.
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