Informal Applications

Aaron Advantage Agency’s Preliminary Inquiry Form has been provided for your convenience. Please click on the form or link below it to download the PDF.  Instructions for form completion have also been provided.

Instructions for Preliminary Inquiries

PLEASE NOTE THAT PRELIMINARY INQUIRIES SHOULD BE USED FOR POLICIES WITH FACE AMOUNTS OF $1,000,000 OR GREATER AND PREMIUMS OF $10,000 OR GREATER. ALL OTHER INQUIRIES SHOULD BE PHONED TO AARON ADVANTAGE.

1. PRELIMINARY INQUIRY: COMPLETE IN FULL ALL APPLICABLE SECTIONS OF THE FORM. IMPORTANT: IN THE MEDICAL HISTORY SECTION, BE SURE TO INCLUDE THE PHYSICIAN(S) FULL NAME , ADDRESS, AND PHONE NUMBER IN ORDER TO EXPEDITE THE APS ORDERING PROCESS.
2. AUTHORIZATION FOR RELEASE OF HEALTH-RELATED INFORMATION: SIGN AND PROVIDE YOUR DATE OF BIRTH.
3. AUTHORIZATION TO OBTAIN AND DISCLOSE INFORMATION: SIGN AND DATE BOTH PAGES.

PLEASE NOTE THAT YOUR APPLICATION CANNOT BE PROCESSED WITHOUT THE REQUIRMENTS LISTED ABOVE. FORWARD ALL DOCUMENTS TO:

AARON ADVANTAGE AGENCY
7204 GLEN FOREST DRIVE
SUITE 202
RICHMOND VA 23226

IF YOU SHOULD HAVE ANY QUESTIONS, PLEASE FEEL FREE TO CONTACT OUR OFFICE AT (800)741-0346.

Download PDF Form

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