Email for Confirmation of Signature

Copy and paste the text below as a follow up email, every time you make any sale where your client was not able to sign their policy in front of you. Simply copy and paste (starting with #1), and make sure to add fhdapplication@globe.life when you send the email out.

1. Please click Reply All to your agent and FHDApplication@globe.life

2. Type the word “Agree” at the top of this email

3. Click Send ELECTRONIC SIGNATURE AUTHORIZATION FAMILY HERITAGE LIFE INSURANCE COMPANY OF AMERICA ELECTRONIC INSURANCE APPLICATION DATE:

APPLICANT LAST NAME:

APPLICANT FIRST NAME:

AGENT NAME:

AGENT NUMBER:

With reference to my application for insurance coverage with Family Heritage Life Insurance Company of America (“Family Heritage Life”) on this date, I, the above-referenced applicant (the “Applicant”), hereby authorize the above-referenced Family Heritage Life agent (the “Agent”) to affix my electronic signature to the application and any attendant documentation requiring my signature (collectively, the “Application”) and to submit the Application to Family Heritage Life for underwriting. I understand that by responding “Agree” to this email, I am affirmatively stating that:

I agree to the terms and conditions set forth in the Application and hereby evidence my intent to apply for insurance coverage with Family Heritage Life;

I agree that this Application may be signed electronically in each instance in which my signature is required;

I agree that the Agent may sign the Application on my behalf by typing my name in each instance in which my signature is required, and that such electronic signature shall have the same effect as if I had signed the Application myself by hand; and

I agree that the Agent may electronically submit the completed and signed Application to Family Heritage Life for review and processing. This authorization pertains only to the Application and will be used for no other purpose than contemplated herein. The electronic signature referenced in this authorization will be encrypted and will pertain only to the Application. The electronic documents maintained by Family Heritage Life are the sole original versions of those documents. Family Heritage Life maintains physical, electronic and procedural safeguards to protect all nonpublic personal information from unauthorized use or improper access.

Phone Number:

512 300 0005

Address:

8705 Shoal Creek #200

Austin, Texas 78757

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