Page 6 - 02272017 UHL Trem App

Always check this box, must agents miss it.
If they have insurance NOT with work, something that they own personally, then you will need to mark does if you are replacing it and complete the replcement form
Don't miss checkng this box.
If you don't have a agent number use your SS#, and write pending next to it.
In the states TX, NM, PA, LA, & GA you MUST be pre-appointed with UHL
to write an application and will need to have an agent number prior to submitting your appication. If you live in one of these states contact your manager to get pre-appointed. If you plan on writting an app with UHL
This is you state specific # when you received your life insurance license