PRUDENTIAL FAST APP VIA IPIPELINE IGO NOVEMBER 2011 NR-11A8332 Exp 5/11/2013For Internal Use Only

CASE INFORMATION TAB – INITIATING A CASE For Internal Use Only

CASE INFORMATION TAB – SELECTING FAST APP For Internal Use Only

PRE-QUALIFICATION SCREEN For Internal Use Only

PROPOSED INSURED SCREEN For Internal Use Only

OWNER SCREEN For Internal Use Only

PURPOSE OF INSURANCE SCREEN For Internal Use Only

BENEFICIARY SCREEN For Internal Use Only

PLAN INFORMATION SCREEN For Internal Use Only

EXISTING INSURANCE SCREEN For Internal Use Only

AGENT’S REPORT SCREEN For Internal Use Only

AGENT’S REPORT CONT’D SCREEN For Internal Use Only

PRODUCER INFORMATION SCREEN For Internal Use Only

PRE-SUBMISSION REVIEW OF FAST APP DATA For Internal Use Only

FAST APP DOCUMENT – SAMPLING OF DATA For Internal Use Only

PRODUCER ATTESTATION SCREEN For Internal Use Only

APPLY E-SIGNATURE SCREEN For Internal Use Only

THANK YOU/SUBMISSION SCREEN For Internal Use Only

PROPOSED INSURED – LINK TO FORMS PROVIDED For Internal Use Only

FORM SUPPLIED TO PI – IMPORTANT NOTICE For Internal Use Only

FORM SUPPLIED TO PI - QUESTIONS YOU MAY BE ASKED For Internal Use Only

FORM SUPPLIED TO PI - AUTH TO RELEASE For Internal Use Only

GA CASE MANAGER GO/NO-GO S – CM LINK TO REVIEW John Smith John Smith, John Smith For Internal Use Only

GA CASE MANAGER GO/NO-GO S – CM LOGIN For Internal Use Only

GA CASE MANAGER GO/NO-GO S – CM APPROVAL For Internal Use Only