PRUDENTIAL FAST APPV I A I P I P E L I NE I G O

NO V E MBE R 2011

NR-11A8332 Exp 5/11/2013 For Internal Use Only

CASE INFORMATION TAB – INITIATING A CASE

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CASE INFORMATION TAB – SELECTING FAST APP

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PRE-QUALIFICATION SCREEN

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PROPOSED INSURED SCREEN

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OWNER SCREEN

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PURPOSE OF INSURANCE SCREEN

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BENEFICIARY SCREEN

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PLAN INFORMATION SCREEN

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EXISTING INSURANCE SCREEN

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AGENT’S REPORT SCREEN

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AGENT’S REPORT CONT’D SCREEN

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PRODUCER INFORMATION SCREEN

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PRE-SUBMISSION REVIEW OF FAST APP DATA

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FAST APP DOCUMENT – SAMPLING OF DATA

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PRODUCER ATTESTATION SCREEN

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APPLY E-SIGNATURE SCREEN

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THANK YOU/SUBMISSION SCREEN

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PROPOSED INSURED EMAIL – LINK TO FORMS PROVIDED

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FORM SUPPLIED TO PI – IMPORTANT NOTICE

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FORM SUPPLIED TO PI - QUESTIONS YOU MAY BE ASKED

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FORM SUPPLIED TO PI - AUTH TO RELEASE

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GA CASE MANAGER GO/NO-GO EMAILS – CM LINK TO REVIEW

John Smith

John Smith,

John Smith

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GA CASE MANAGER GO/NO-GO EMAILS – CM LOGIN

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GA CASE MANAGER GO/NO-GO EMAILS – CM APPROVAL

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