First Financial Underwriting

*Physician Id:	required
*Physician Last Name:	required
*Physician First Name:	required
*Patient Last Name:	required
*Patient First Name:	required
*Date of Birth:	required
Clinic/Hospital Name:
Upload APS	APS Attachment You can attach up to 5 documents. Please click on CHOOSE FILE to start browsing and select your document. Please note, maximum upload file size is 25MB. If the files size is greater than 25MB, please split into smaller files and upload separately. Please remove password protection on your files.
Special instructions:
Payment Required:


[Privacy] APS Privacy Secure Document Upload for Physicians/Hospitals Upload Document Security synopsis: All information and files are submitted to FFUSI’s website via https. Data is encrypted with 2048 bit SSL Certificate during transmission. FFUSI hosts its own website and servers in Canada. We do not use 3rd for any file upload or process. Strict file access by authorized FFUSI staff. Uploads are verified by FFUSI’s authorized staff before release to the requesting Insurance Company underwriting department. FFUSI is in full compliance with all life Insurance Industry security requirements. Please visit our full privacy & security policy at https://www.firstfin.com/home/privacy

First Financial