Sunfire Blaze Troubleshooting Form
Name
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First Name
Last Name
NPN
*
Date you Experienced the Challenge.
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Month
-
Day
Year
Date
What Challenge are you Experiencing with Sunfire?
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Missing Carrier (Select this Option if a Carrier is Missing In Every State)
Missing State Appointment (Use this option if a Carrier Shows but is Missing a Specific State(s))
Plan Not Showing as Available for Enrollment
Other
Plan Name (Be Specific, Include State)
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What is the Plan ID # ?
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What Zip Code are You Using?
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What Carrier(s) are you MIssing?
What State Appointment(s) are you Missing?
Please Describe your Challenge in Detail.
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You MUST upload a screenshot with your submission.
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