EZ-Refer referring form
To be used by authorized referring parties only. You don’t have a code and wish to become a representative? Use this form instead.
Fill out this short form. An agent from Customer Service will call the client at the desired time.
Please note that, beginning May 16, 2022, our agents will be pleased to call referred clients between 8:30 AM and 5:00 PM (EST), Monday through Friday.