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Get the free Client / Rider Application - Palm Desert

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NAME (PRINT) ___DATE___ Best phone number to reach you: Home or Cell and best time to call ___ Can we call you if we are shorthanded? Yes___ No___ EMAILDOB___ADDRESS___ CITY___ STATE___ZIP___ OFF
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A client rider application is a supplementary document that clients submit to request specific modifications or additional coverage to their existing insurance policy.
Clients who wish to amend their current insurance policies or add special riders to their coverage must file a client rider application.
To fill out a client rider application, clients should provide their personal information, policy details, the specific changes or additions they request, and any supporting documentation as required by the insurer.
The purpose of a client rider application is to formally document requests for adjustments to an insurance policy, ensuring that the changes are clear and officially recognized by the insurance provider.
The application typically requires the client's personal information, their existing policy number, the details of the requested rider, and any relevant financial or medical information, depending on the nature of the rider.
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