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Company Forms:
Impaired Risk Underwriting Forms:
- Trial Application - We will be glad to shop your case to our various carriers on a "trial application"
basis. To do so you will have to have one of our "trial application" preliminary
inquiries completed and signed by your client. You must also provide us with a copy of
his/her medical records. We will not order APS's on trial application cases.
- Questionnaires - 11 questionnaires for the most common impairment histories including heart/coronary disease, diabetes, cancer, nervous/anxiety/depression, driving, drug/alcohol, financial, foreign travel, stroke/TIA and tobacco use. If you don't see a questionnaire to fit your client's history, call us to discuss verbally, or use our...
- Online Impaired Risk Underwriting Tool.
Do you need a form for a company not listed? Just call us! We can e-mail it to you immediately!
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