Costen and Associations Insurance and Financial Planning Ltd. Friendly Personalize Service with a Choice
 
 




Name:
Policy and/or Claim Number:
OUR OFFICE POOR GOOD EXCELLENT
Telephone Courtesy
Advice received from our Office
 
ADJUSTER APPOINTED BY INSURANCE COMPANY
Promptness & Courtesy
Explanation of your Coverage
Overall Satisfactory Settlement
 
Additional comments or suggestions regarding your claim experience or service provided by our Office:
 
Note: Please indicate if you would like any information on the following:
PROPERTY: AUTO: MOTORCYCLE: VACATION TRAILER:
COMMERCIAL PROPERTY: COMMERCIAL AUTO: WATERCRAFT: TRAVEL:
MORTGAGE: LIFE: DISABILITY: CRITICAL ILLNESS:
LONG TERM CARE: EXTENDED HEALTH: RRSP: BANKING SERVICES:
OTHER:  
 
 
 
 
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