RiskWell Elite Zach Faris - RDB Group et al Get what you need, faster and easier. See below to access the resource you're looking for or click to call or email our office. Call RiskWell Email RiskWell Quote Request Form "*" indicates required fields What kind of quote request is this?*Adding a property to my scheduleSomething elseWhat entity should be shown as First Named Insured?*Zach FarisRRB Invest, LLCRDB Group, LLCSomething elseName of person or entity to be shown as First Named Insured* Address to be quoted* Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Property Type*Single family residence2-4 unit propertyMobile / manufactured homeOtherWhat's the plan for this property?*RentalRenovation / FlipSubject To ("Sub2")Vacation / Short Term RentalSeller FinanceWholetailOtherCoverage amount ($)*Anything else we need to know here?Mortgagee full name and mailing addressIf applicablePlease upload all relevant files for this quote request Drop files here or Select files Max. file size: 98 MB. Service Request Form What Effective Date Is Needed For This Change MM slash DD slash YYYY Line of Business for Service Request* Real Estate Investor Business Personal Name Of Insured (If different from your typical) Insurance Carrier For Service Request Policy Number For Service Request Type Of Service Needed*You can request multiple service items, as needed. Help With A Potential Claim Remove A Property From A Schedule Mortgagee/Lienholder Change On A Property Add A Driver Remove A Driver Add A Vehicle Remove A Vehicle Billing Update Misc Policy Change Cancel A Policy Please provide a brief description of your potential claim situation*We will contact you to help with the situation, and to help you file a claim, if necessary.Property Address For This Service Request* Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Is this Mortgagee/Lienholder being added or removed?*Added to replace existing 1st Mortgagee/LienholderAdded as a 2nd Mortgagee/LienholderRemoved as a Mortgagee/Lienholder on the subject propertyMortgagee/Lienholder full name to be added*Mortgagee/Lienholder Address* Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Provide the full name, date of birth and driver's license number and state for all driver(s) you want to add to your policy*Please note that full name, date of birth and DL info are ALL required for us to be able to process your request.What is the name of the driver(s) you want to be removed from your policy?* Please enter the full 17-digit Vehicle Identification Number (VIN) for all vehicles you want to add to your policy.*You may submit a document or picture at the bottom of this form if you prefer. ENTER "FILE" IN THIS FIELD, IF YOU ARE ATTACHING A FILE BELOW.Which vehicle(s) do you want to remove from your policy?*Please use VIN information to designate vehicle(s) if you have multiples of the same year, make and model. Reason For Cancellation Sold/no longer own the subject of the policy Unhappy with claim Unhappy with service Unhappy with price What else do we need to know to promptly resolve this service request to your satisfaction?For new investment properties, include any coverage requirementsUpload All Supporting DocumentationIf you're requesting a backdated cancellation for an investment property, we have to get the HUD from the sale. Drop files here or Select files Max. file size: 98 MB, Max. files: 5.
