Contact Us
Thank you for your interest in LEP. Please complete the form below and a Representative will contact you.

Life Equity Partners
5397 Orange Drive Suite 201
Davie FL, 33314

Office: 888.568.8212
Fax: 954.212.0338

To submit a case please scroll down and follow the instructions below.
Our Contact Form
Contact Information
Your Contact Information
First Name
Last Name
Phone Number
Company Information
Company Name
Website Address
How did you
hear about us?
Title Question

Via Mail
5397 Orange Drive
Suite 201
Davie FL, 33314
ATTN: Case Submission

To discuss a potential case,
please call us: 888.568.8212 > 964-9460
Via Email
email your case to
Subject: Case Submission

Remember to attach all documents!
Via Fax
Fax your case to:
ATTN: Case Submission
Please make sure the following are included when submitting a case to LEP:
  • Signed & Completed Application
  • Signed & Completed disclosures and acknowledgement forms (if state required)
  • Copies of IDs
*If available, copies of APSs & in-force ledger would expedite underwriting process
List of State Specific Applications