Florida Department of Financial Services

Create a New Submission

 

 

 

Underwriting Change Questionnaire

  1. Respond to each of the four questions provided in the questionnaire displayed on the screen.  Each question requires a 'Yes' or 'No' response, which can be selected by clicking the radio button under the respective Yes/No columns.

  2. Once you have provided responses for each question, click Next to continue.

    • If you answer 'Yes' to any of the four questions, click here to visit the Select Insurer help screen for more information.

    • If you answer 'No' to all four questions, proceed to step 13.

WCCS: Underwriting Change Questionnaire Screen

 

 

Next Step:

If you responded 'Yes' to any questions, go to Select Insurer.

 

 

 

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