UPS Request

Update Policy Status Request

(This will alert jasmine to update the policy status in ezlynx)
Date*

MonthDayYear
Date
Requested by:*
Required
Handled by:*
Required
Transaction Type*
Client ID
for Policy Status
For Policy Number:*
Required
Status Update*

Policy Reinstated / Payment Made on PolicyPolicy Reinstated / Underwriting Reason ResolvedCancel the Policy / Cancelled for Non-PayCancel the Policy / Cancelled for Und. Reasons
What is the actual date of Cancellation / Expiration*

MonthDayYear
Date
What is the actual date of Reinstatement / Renewal*

MonthDayYear
Date
How did we determine this*

Verified on Company WebsiteVerified with Company Underwriter / Cust. ServiceReceived Notice from CompanyOther
Explain Other
Note: In order merge duplicate clients, we must have the client ID for each file in ezlyx. Please enter below. We keep personal lines and commercial lines clients seperate in ezlynx. So please verify if they are both personal lines or comm lines.
Client ID (1st) - to be retained
Enter the client ID for 1st Applicant to merge
Client ID (2nd) - to be deleted
Enter the client ID for 2nd Applicant to merge
Upload - Screenshot, Notice, Etc

Browse Files
Proof of reinstatement or Renewal. Cancelof
Notes
PRC Code (for Jasmine Only)
For Jasmine Only
Processing*

Updated Ezlynx Policy Status to match carrier system.Re-Order Download (only for downloaded policies)
Should be Empty: