Liberty National Worksite Advantage
Please complete the form below to provide the impact to your business as a result of COVID-19. For questions, please contact our team at 469-701-2103.
Please tell us your first and last name
Franchise number (listed in our email to you)
Please indicate which option(s) best describe your business so we can determine how to best assist you.
Open (currently deducting premiums)
Open (not deducting premiums)
Open or closed (furloughed employees)
Open or closed (employees permanently let go)
What is the best phone number to contact the business regarding this matter?
A copy of your responses will be emailed to the address you provided.
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