REFERRAL

Home CONSULTATION REFERRAL LOSS CONTROL

In the unlikely event that The Saperstein Agency Inc. is not able to service your insurance needs because you are located in a country or state where we do not provide our service, we have the ability to refer you to a local branch office or agency in your area.

We will do our best to accommodate you and help you review your current insurance plan. However, we represent many insurance companies that are located in all areas of the world. If you would like information on company contacts in your area please complete the following request form and we will contact you with the information.

Complete the following e-mail form and a representative will call you as soon as possible.

General Information
Name:
Address:
City:   State:    ZIP:
Email:
Business Phone: ( ) -            Home Phone: ( ) -
Type of Insurance You are interested in:

Business Insurance

- Manufacturer
- Contractor 
- Distributor
- Retail
- Real Estate
- International Operations
- Technology/Electronics/
   Medical Industry
- Import/Exporter
- Bonds
- Other

 Business Medical Ins.

- Group Health Insurance
- Group Disability
- Group Life
- Group Dental

 Personal Insurance

- Homeowners
- Automobile
- Umbrella
- Recreational Vehicle
- Yacht or small boat
- Life Insurance
- Individual Health
- Long Term Care
- Disability Insurance

Please Answer the Following Questions to enable us to serve you better:
Please indicate your concern regarding your current insurance protection?
Price   
Too Much Coverage   
Too Little Coverage  
Insurance Company/Agency not familiar with your business or household need   
How would you rate the service that your current agent/broker provides?
Excellent   Adequate   Poor   
If you could change one thing about your current insurance protection what would it be:
If you are interested in business insurance please describe your business