Take advantage of our "Trial Application" process for your hard to place cases.  Print and complete these forms and fax them into BDS at 888-524-6793 and we will start the shopping process.  If your target commissionable premium is greater than or equal to $10,000.00, and necessary, then we will order an APS free of charge.  If your premium is lower and you do not have a copy of the APS please ask your client to request it from their primary physician or any applicable medical facility.

TRIAL APPLICATION

AUTHORIZATION FORM