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Please Note: All forms may be filled out electronically.
To begin, download the desired form to your local device and save.

When complete, simply click EMAIL button to submit electronically.

For hard copy submissions, click the PRINT button and mail or fax to us at:

Insurance Strategy Inc.
6368 Pearl Road
Cleveland, Ohio 44130

Fax: 440-842-8669


Downloadable forms from Insurance Strategy Inc.:

Individual Medical Questionnaire
Individual Medicare Information


Downloadable forms from Infinity Trust:

Employer Application
Autowithdraw Authorization
Employee Enrollment/Change Form
Employee Termination Form
Change of Address Form
   
Forms for Individuals:  
Individual Thru Agent Publication
Individual Application

 

VSP Signature Series

   

VSP Choice Series
With Lens Options

 
Plan A Information
  Plan A Information

Plan B Information   Plan B Information
Plan C Information   Plan C Information
Exam Plus Information      
VSP Signature Series
Rate Sheet
  VSP Choice Series With Lens
Rate Sheet
         
VSP Choice Series
Without Lens Options
    VSP Individual Vision Coverage Choice Series With Lens Options  
Plan A Information   Plan A Information
Plan B Information   Plan B Information
Plan C Information   Plan C Information
VSP Choice Series without Lens
Rate Sheet
  VSP Individual with Lens
Rate Sheet