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Impaired Risk
Below you will find a listing of QUICK QUOTE FORMS for your use. QUICK QUOTE FORMS are used to secure "firm" tentative offers from one or more of the leading imparied risk carriers on declined or special risk cases.

Select the correct QUICK QUOTE FORMS, secure as much detail as possible and fax the form to us at 602-494-0500. The data will be discussed with several carriers and illustration will be prepared for you. If there are no "surprises" in the underwriting papers, then the carrier will stay with its "firm" tentative offer.

Check Out
On occassion, the carrier will require that a QUESTIONNAIRE be completed during the underwriting
of a case.

THESE ARE NOT THE SAME AS QUICK QUOTE FORMS. It may be necessary to complete one of the standard forms for submission with an application. Click on the questionnaire you would like to view or print out.

Services website is maintained exclusely for active producers contracted with carriers through LifeBrokers® and is not intended
for the general public. All information for use as a guide, or as a reference, and is believed to be current as of the date of its posting.
Any misrepresentation of the information contained in the LifeBrokers® Insurance Services website by its users is strictly prohibited.

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