Preneed Licensing Information

Contracting Forms*

Application & Consent to Obtain Consumer Report

Your Rights Under The Fair Credit Reporting Act

CML Reserve Agreement & Hierarchy Form
(AK, ND, & VT only)

CLIC Reserve Agreement & Hierarchy Form
(all other states)

* Note each item is 2 pages

Please call or fax the completed contracting information to the Columbian Representative for your state of residence:
  

CT, MA, NH, RI, VT
Edmund Kidder
Telephone: 888- 865-1055
Fax: 603- 424-2711
FL, KY, LA, TN
Ralph Owen
Telephone: 888- 779-6333
Fax: 615- 867-8444
NC
Troy Matthews
Telephone: 877- 598-0967
Fax: 252- 451-4302
GA, SC
Tony Spell
Telephone: 877- 535-8092
Fax: 803- 496-2614
OH, NJ, PA, WV
Jerry Warne
Telephone: 866- 472-4238
Fax: 330- 757-3708
ALL OTHER STATES
Christie Pinney - Field Development
Telephone: 800-423-9765, ext. 6336
Fax: 607-772-9775

Preneed products are not available in: AL, ME, MI, MS, MT, NY, OR, SD, TX, or VA.
 

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