CDAT - New Assignment

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CDAT - New Assignment

When you submit this form, it will not automatically collect your details like name and email address unless you provide it yourself.

1. Inspection Request Type

Pre Bind

New Bind

Renewal

Cancel/Rewrite

2. Carrier

Orange Insurance Exchange

US Coastal

3. Policyholder Name

4. Policy Number

5. Prior Policy (if cancel/renewal)

6. Underwriter

Annette Long

Gino Baptiste

Jenna Merenda

Jesse Schick

Karen Miller

Karen Theisen

Stephen Andrew

Suzi Liskoff

Other

Other Underwriter

7. Policy Inception/Renewal

8. Property Address (Street)

9. Property City

10. Property State

11. Property Zip

12. Property Type

Garden Style

Mid Rise

High Rise

13. Property Management Group

14. Property Manager

15. Property Manager Phone

16. Property Manager Email

17. Agency

18. Producer

19. Producer Phone

20. Producer Email

21. Account Manager

22. Account Manager Phone

23. Account Manager Email

24. Board Member

25. Board Member Phone

26. Board Member Email

27. Deft Budget

28. Underwriting Objectives

29. Underwriting Sub-Objectives

30. Other Assignment Notes

31. Assignment Docs

Maximum files: 10 per submission Maximum file size: 30 MB per file Allowed file types: Word, Excel, PowerPoint, PDF, images, video, and audio files

Submit

+1 877-333-8256
info@thedeftgroup.com

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