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Safeshield - Stephen Garris Life Insurance Supplement
Complete the form below so we can shop 73+ carriers for the right coverage at the best price.
★★★★★
"Austin got us our GL, workers comp, and commercial auto placed in one week. Nobody else came close."
— Tony M., Electrical — Stamford CT
★★★★★
"Eric got our COI to the GC in 20 minutes. We've never had an agency turn certs around that fast."
— Danny R., Plumbing — Norwalk CT
★★★★★
"Switched our whole construction book. Austin found better coverage and saved us $14K annually."
— Marco S., General Contractor — Bridgeport CT
★★★★★
"Justin helped us get a last-minute COI for a job in Manhattan. Friday at 4pm. Had it before 5."
— Chris P., HVAC — Bronx NY
★★★★★
"We're a landscaping company with 12 trucks. Austin understood our exposures — inland marine, hired/non-owned, all of it."
— Ray L., Landscaping — Greenwich CT
★★★★★
"After 15 years with State Farm I finally switched. Better coverage for less money in one phone call."
— Kevin O., Homeowner — Stamford CT
★★★★★
"They set up our entire commercial package and had certs to our three biggest clients within 24 hours."
— Sam K., Roofing — Danbury CT
★★★★★
"Eric rewrote our workers comp and saved us $8K. First agent who ever explained class codes straight."
— Pete D., Masonry — Waterbury CT
★★★★★
"Austin got us our GL, workers comp, and commercial auto placed in one week. Nobody else came close."
— Tony M., Electrical — Stamford CT
★★★★★
"Eric got our COI to the GC in 20 minutes. We've never had an agency turn certs around that fast."
— Danny R., Plumbing — Norwalk CT
★★★★★
"Switched our whole construction book. Austin found better coverage and saved us $14K annually."
— Marco S., General Contractor — Bridgeport CT
★★★★★
"Justin helped us get a last-minute COI for a job in Manhattan. Friday at 4pm. Had it before 5."
— Chris P., HVAC — Bronx NY
★★★★★
"We're a landscaping company with 12 trucks. Austin understood our exposures — inland marine, hired/non-owned, all of it."
— Ray L., Landscaping — Greenwich CT
★★★★★
"After 15 years with State Farm I finally switched. Better coverage for less money in one phone call."
— Kevin O., Homeowner — Stamford CT
★★★★★
"They set up our entire commercial package and had certs to our three biggest clients within 24 hours."
— Sam K., Roofing — Danbury CT
★★★★★
"Eric rewrote our workers comp and saved us $8K. First agent who ever explained class codes straight."
— Pete D., Masonry — Waterbury CT
Life Insurance Health Questionnaire
Stephen Garris — Additional Health Information
Nicotine & Tobacco Use
When did you stop using nicotine/tobacco products? *
What type of nicotine/tobacco product did you use?
Blood Pressure History
Do you have any history of high or low blood pressure? *
If yes, please describe (diagnosis date, medications, current readings, etc.)
Family Health History
Provide age (or age at death) and check if they have had heart disease or cancer
Mother — Age (or Age at Death)
Mother — History of:
Father — Age (or Age at Death)
Father — History of:
Siblings
Sibling 1 — Age (or Age at Death)
Sibling 1 — History of:
Sibling 2 — Age (or Age at Death)
Sibling 2 — History of:
Sibling 3 — Age (or Age at Death)
Sibling 3 — History of:
Additional Siblings (if more than 3)
Prescribing Psychiatrist — Vyvanse
Information about the physician who prescribes your Vyvanse
Psychiatrist Full Name *
Practice / Clinic Name
Psychiatrist Phone Number
Psychiatrist Address
Vyvanse Dosage
Diagnosis Vyvanse is prescribed for
Additional Notes
Anything else you'd like us to know?
Your information is secure and will only be used to provide an insurance quote.
★★★★★
"I run 22 trucks across the tristate. Austin consolidated everything under one policy and the premium dropped."
— Jorge V., Trucking — Queens NY
★★★★★
"Austin saved me $700/year on auto and got better home coverage for half the price."
— Michelle T., Homeowner — Cos Cob CT
★★★★★
"Justin put together a life insurance plan that actually made sense. No pressure, just options."
— Brian W., Business Owner — Westport CT
★★★★★
"Their tech is unreal. All my policies, renewals, and certs in one dashboard. No other agency has this."
— Alex F., Property Manager — Manhattan NY
★★★★★
"We needed builder's risk same day for a closing. Eric made it happen. No drama, no excuses."
— Nick G., Developer — Stamford CT
★★★★★
"10 rental properties insured through Safeshield. Re-shopped every one and found savings on 8."
— Linda C., Real Estate — Norwalk CT
★★★★★
"They monitor our renewals 60 days out. Got a call saying they saved us $2K before renewal even hit."
— Steve H., Restaurant — Fairfield CT
★★★★★
"Eric walked us through our umbrella options like a teacher. Patient and genuinely cared."
— Diane M., Homeowner — New Canaan CT
★★★★★
"I run 22 trucks across the tristate. Austin consolidated everything under one policy and the premium dropped."
— Jorge V., Trucking — Queens NY
★★★★★
"Austin saved me $700/year on auto and got better home coverage for half the price."
— Michelle T., Homeowner — Cos Cob CT
★★★★★
"Justin put together a life insurance plan that actually made sense. No pressure, just options."
— Brian W., Business Owner — Westport CT
★★★★★
"Their tech is unreal. All my policies, renewals, and certs in one dashboard. No other agency has this."
— Alex F., Property Manager — Manhattan NY
★★★★★
"We needed builder's risk same day for a closing. Eric made it happen. No drama, no excuses."
— Nick G., Developer — Stamford CT
★★★★★
"10 rental properties insured through Safeshield. Re-shopped every one and found savings on 8."
— Linda C., Real Estate — Norwalk CT
★★★★★
"They monitor our renewals 60 days out. Got a call saying they saved us $2K before renewal even hit."
— Steve H., Restaurant — Fairfield CT
★★★★★
"Eric walked us through our umbrella options like a teacher. Patient and genuinely cared."
— Diane M., Homeowner — New Canaan CT
★★★★★
"COI to the GC in under 15 minutes. Every. Single. Time. Worth switching for if you're in the trades."
— Vinny A., Painting — Brooklyn NY
★★★★★
"Austin found gaps in my coverage I had no idea existed. For a high-value home, that matters."
— Robert K., Homeowner — Greenwich CT
★★★★★
"Old agent took 3 days for a certificate. Safeshield does it in minutes. Speed is money."
— Carlos R., Concrete — Yonkers NY
★★★★★
"Justin set me up with term life and disability. Sole proprietor — family needs to be covered."
— Mike T., Electrician — Trumbull CT
★★★★★
"Moved my restaurant's commercial package and liquor liability. Better coverage, lower premium."
— Anna P., Restaurant — Stamford CT
★★★★★
"He made me feel like a human being, not a policy number. All 4 of my businesses are here now."
— David N., Multi-Business — White Plains NY
★★★★★
"They shopped 73 carriers for our commercial property. We would've overpaid by $6K if we'd just renewed."
— Frank J., Property Mgmt — Bridgeport CT
★★★★★
"Eric handles our entire book. Whenever I need something, I text him and it's done. That simple."
— Sophia L., Client — Darien CT
★★★★★
"COI to the GC in under 15 minutes. Every. Single. Time. Worth switching for if you're in the trades."
— Vinny A., Painting — Brooklyn NY
★★★★★
"Austin found gaps in my coverage I had no idea existed. For a high-value home, that matters."
— Robert K., Homeowner — Greenwich CT
★★★★★
"Old agent took 3 days for a certificate. Safeshield does it in minutes. Speed is money."
— Carlos R., Concrete — Yonkers NY
★★★★★
"Justin set me up with term life and disability. Sole proprietor — family needs to be covered."
— Mike T., Electrician — Trumbull CT
★★★★★
"Moved my restaurant's commercial package and liquor liability. Better coverage, lower premium."
— Anna P., Restaurant — Stamford CT
★★★★★
"He made me feel like a human being, not a policy number. All 4 of my businesses are here now."
— David N., Multi-Business — White Plains NY
★★★★★
"They shopped 73 carriers for our commercial property. We would've overpaid by $6K if we'd just renewed."
— Frank J., Property Mgmt — Bridgeport CT
★★★★★
"Eric handles our entire book. Whenever I need something, I text him and it's done. That simple."
— Sophia L., Client — Darien CT
SAFESHIELD INSURANCE We Work For You. Not The Insurance Company.
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