X
Please enter the Endorsement date:
X
Please enter the as of date.
X
Enter the reason for Cancelling/Denying this Endorsement
(reason will be included in an email to the agent)
X
Enter the additional information needed for this
task
.
(request will be emailed to the agent and logged in the Journal)
X
You have removed the current Bill Payer from the policy, you must select a new Bill Payer
X
Select New Indexing
X
Edit This Form
X
X
X
An existing matching client was found, would you like to:
X
Policy Number:
Carrier Placed With:
Cancel Date:
Cancel Requestor:
Please Select
Insured
Carrier
Cancel Reason:
Coverage Placed Elsewhere
Insured Request
Property Sold
Agent no longer represents the carrier
Cancelled at request of the finance company
Failure to comply with terms and conditions
Failure to pay deductible
Misrepresentation of information on application
Non-Payment
Not taken/Declined
Rewritten
Substantial change in risk
Underwriting reasons
Cancel Premium:
$
Change Note:
X
Create letter and/or modify forms
X
goinjg to be soemthing here
X
Entries for Testing
Action
User Name
Body
Agency Id
Policy Number
Title
Link
Spectrum Explorer
Property Sold
Coverage Placed Elsewhere
Insured Request
Agent no longer represents the carrier
Cancelled at request of the finance company
Failure to comply with terms and conditions
Failure to pay deductible
Misrepresentation of information on application
Non-Payment
Not taken/declined
Rewritten
Substantial change in risk
Underwriting reasons
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IMT Company # 2230
Questions about Coverages/Underwriting? Contact Has San Lake Mutual Insurance support at 763-684-1280 Or
gary@hassanlakemutual.com
Questions about Technical Issues? Contact IMT at 1.844.515.2217 Option 4 or
Spectrum-Support@IMTApps.com
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