Skip to content

800.869.1DBS

We make doing business easier and more profitable for you.

Skin Cancer Underwriting Questionnaire

Please select "age" if the date of birth is unknown.

Skin Cancer

Generally in underwriting, Actinic Keratosis and Seborrheic Keratosis types of lesions are not a concern.
Click or drag files to this area to upload. You can upload up to 10 files.

For Melanoma, please provide date and staging:

Website is for agent use only. Not for use with the general public. Privacy Policy | Terms of Use

Securities offered through The Leaders Group, Inc. Member FINRA/SIPC. 26 W. Dry Creek Circle, Suite 800, Littleton, CO 80120, 303.797.9080. Diversified Brokerage Services is not affiliated with The Leaders Group, Inc.


Before investing, research the background and registration status of any firm or financial professional you are considering dealing with at: http://brokercheck.finra.org/