Beneficiary Add Contact - Adam Marquis

Let's add the beneficiary and notify them that a policy was taken out on their loved one. (Please start with the name of the client/insured below and add beneficiary on the next question).

First Name (Insured)

Last Name (Insured)

What is the name of your beneficiary?

First Name *

Last Name *

What state do they live in?

State *

What is the beneficiary's relationship to the insured? *

Aunt
Brother
Child (over 18)
Cousin
Co-Worker
Friend
Grandchild
Neighbor
Nephew
Niece
Parent
Sister
Spouse
Uncle
Other
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What is this person's phone number? *

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