Bulletin Request

Submission type

New request

Express request - send a previous bulletin to a new group or to recipients who didn’t open the bulletin

Urgent request - time sensitive, such as storm-related binding suspensions and lifts

Submitted by

First

Last

Originally submitted by

Same as submitter
Other... This choice will expand a text box

provide if different than person submitting form

Original requestor name

Email address

Due date

If unknown, provide best estimate

Due date type

Will not change/must go out on due date
Could change/flexible
Final date TBD

Bulletin content

Is this bulletin related to a rate change?

How will quotes be impacted by the rate change?

Quotes entered prior to ______ with policy effective dates of ______ or later will be honored with the current rates.
As of ______, quotes with an effective date of ______ or later will be restricted. The restriction is scheduled to be lifted ______.
Impact to be determined

What is the call to action (CTA)?

What do we want them to do? (Sign up, learn, quote more, watch a video, etc.)

Provide copy or copy direction

Please be as specific as possible. What information are we sharing? What are the benefits? What are the features? Dates, systems, products, news, etc.

Bulletin includes attachment(s)

Yes
Maybe/don't know
No

Upload any supporting documents or attachments (if available)

Who signs the bulletin?

Approval process

Review panel

If Other, please specify

Additional information

States

Please complete this form to request Agency bulletins from the Marketing team.

What systems are impacted?

Agency Link
Agent Interact
Blue Cod
Majesco
Other

Do you have a list to provide, or will one need to be pulled for this communication?

I have a list
I need a list pulled

Please fill out the audience selection form.

Additional instructions/requests

Agent/Broker Bulletin Request

Bulletin content

Approval process

Additional information