Quoatation / Rates / Applications

To obtain a quotation please complete and fax back the following three (3) forms:

  1. LRP Basic application
  2. LRP Specific Coverage
  3. LRP Substantial Beneficial

Fax the signed forms to an FAFRM office:

  • Runnells, Iowa: 515-966-2250
  • Tuttle, North Dakota: 701-867-9161

We will contact you with a quotation.