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Impaired Risk


Impaired Risk Questionnaires

Submit your impaired risk cases to our Underwriter using the forms at the links below: (1) Click on the link to the desired form, (2) Complete the fillable form electronically, (3) Save the completed form to your documents, (4) Attach the completed form to an email to Bill McGrory, Director of Underwriting:, or FAX it to 888-831-5954. Call Global Insurance Solutions Group at 800-426-6848 for assistance.