Client Document Portal

Document

Upload

For Insurance Agents And Clients

Upload your documents quickly and securely. Our easy-to-use portal ensures that your important files are safely submitted and processed without any hassle.

NOTE: If you are an agent submitting documents on behalf of your client, please open this form in Incognito Mode.

Client Name *

Client Email *

Client Information Sheet

Social Security Card(s)

Green Card(s)

Income Documents

Citizenship Information

Miscellaneous Information

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Legacy Shield, Inc. is committed to serving you at the highest level with all your Healthcare needs.

National Producer Number: 18707750

Company

Directories

Legal

Terms & Conditions

Legacy Shield, Inc. is committed to serving you at the highest level with all your Healthcare needs.

National Producer Number: 18707750

Company

Directories

Legal

Terms & Conditions