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All Fields must be filled out for application to be considered.
If you would like to apply for credit these are some of the issues that may apply to you:
  • The lead has to have been sent within the last 15 business days
  • The prospect is not between the ages of 18-69 (auto leads only)
  • The person you talked to states that, "They did not want a quote and told the telemarketer so" We will check our recordings to verify whether this is true or not.
  • The prospect does not speak English. We will check recordings and if the prospect was pitched in any language other than English we will replace.
  • duplicate leads will only be replaced within six months of the original date sent
  • The telephone number is disconnected.
  • The prospect states that you have the wrong number. We will check recordings and verify that the prospect was at that number.
  • The lead is with your current company. We need verification that they are with your current company, such as a print screen showing policy number.
  • Must Be A Current Customer
Agent Name:
Your Email:
Lead Date:
Telemarketer Name:
Phone Number on Lead:
Reason:
Click if Lead is Duplicate: