Refer a Friend

Thank you for trusting us with your referrals. We promise to give them the same excellent service we have given you!

Please note that any incoming e-mail requests to Witkin Scott Associates, Inc to bind, effect, or amend coverage, terms or conditions of any policy or submit a claim shall not be treated as having been received until formal acknowledgement has been sent to the originator of the e-mail. An automated response advising of the absence of the addressee member of our staff does not constitute a formal response.

  • Your Information

  • Referral Information

  • NameEmail 
    Any referrals you send to us will only be used for this communication by our agency. All email addresses will be confidential.

    You can add additional names by clicking the + sign.
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