Client Questionnaire - Business Account

Business Information

Tax Year End

Participant Information

Date of Birth(Required)
Driver's License Issue Date
Driver's License Expiration Date
This field is for validation purposes and should be left unchanged.

For additional questions, please call One Strategic Capital, Inc. at (206) 397-4890

or email insurance@oscfp.com.

If you would like to schedule an appointment, please go to: www.oscfp.com/whlt

Click on Appointment Type: WA Long Term Care Appointment

Select Date & Time

Enter your details

Click “Book”