Victorian Bar Application Form Vic Bar - Application First Name * Last Name * Email * Phone * Address * Address Address Address City City State State Zip/Postal Zip/Postal Bar Roll Number * Gross Fee Receipts * $ From 1 July 2024 to 30 June 2025 please estimate your Gross Receipts inclusive of clerking commission, but exclusive of GST Member of the Professional Standards Scheme? * No Yes Fees * Limit of Indemnity * Base Premium $ GST $ Stamp Duty $ Policy Fee $ Policy Fee GST $ Price $ Are you aware of any circumstances, acts, or omissions that might give rise to a claim against you (including a costs order against you), which you have not reported to your current insurer? * Yes No Have you or a staff member been subject to disciplinary proceedings for professional misconduct in the last seven (7) years which you have not reported to your current insurer? * Yes No Your application will be referred to the insurer for approval. We will be in contact with you shortly. Please provide further details * If you are human, leave this field blank. Next
