Alliance Insurance Services, Inc.

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.: Individual & Family

.: Group Health

.: Dental

.: Life

.: Long Term Care

.: Mortgage Protection

.: Disability

.: Auto & Home

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Our Guarantee

Quality Insurance

We promise to give you quality health insurance at an affordable cost.

Timely Service

Alliance Insurance Services, Inc. is dedicated to a no-nonsense approach to health insurance. We focus on giving you the insurance you need in a timely and cooperative manner.

First Name:		Last Name:
Home Phone:		Day Time Phone:
Address:		City:
State:		Zip Code :
Who is this quote for?		E-mail:
Applicant:	Birth Date:
Current employment status:		Industry that best describes your occupation:

Has the applicant ever been declined or rated for disability insurance? Yes No
Do you currently have an individual disability policy? Yes No
	If yes, please enter:	Name of company:
		Monthly benefit:
Do you have a disability benefit through work? Yes No
	If yes, please enter:	Name of company:
		Weekly benefit:
Brief Health Survey
Do you take any medication? Yes No
Please list any medications, health issues, concerns, or comments here.