Coverage cannot be bound, issued or modified through this request form.
Customer Service Document Request Portal
Welcome! You can request a Policy Document using the options provided.
Policy Document Request
Policy Document Request
Coverage cannot be bound, issued or modified through this request form.
Required fields are marked with an asterisk*
{"xsrfToken":"5adab0585f25e991f570c6ec48f7c47b8dec1494_lout","branding":{"id":"8","key":"cspd","name":"Customer Service Document Request Portal","portalBaseUrl":"/servicedesk/customer/portal/8"},"helpCenterBranding":{"logoUrl":"https://api.media.atlassian.com/file/98841fb3-c1d7-464f-acbd-77272d9d9c0f/image?token=eyJhbGciOiJIUzI1NiJ9.eyJpc3MiOiI1Y2RjMTAxMy0wNmU3LTQyNDktOTJhZS1kZDk5ZDA2MjFlOGIiLCJhY2Nlc3MiOnsidXJuOmZpbGVzdG9yZTpmaWxlOjk4ODQxZmIzLWMxZDctNDY0Zi1hY2JkLTc3MjcyZDlkOWMwZiI6WyJyZWFkIl19LCJleHAiOjE3NjM0NTk2ODAsIm5iZiI6MTc2MzQ1OTA4MH0.xqzWba-FQkCT2n9iGUktXPi3ZdF28DM4shLHsbolPSo&client=5cdc1013-06e7-4249-92ae-dd99d0621e8b&mode=fit","logoId":"98841fb3-c1d7-464f-acbd-77272d9d9c0f","isLogoAvailable":true,"helpCenterTitle":"Welcome to the Service Center Portal","sharedPortalName":"Service Center","userInitialAnnouncementHeader":"","userInitialAnnouncementMessageWiki":"","translations":{"ru-RU":{"helpCenterTitle":"Добро пожаловать на Центр поддержки","sharedPortalName":"Центр поддержки","localeDisplayName":"Russian (Russia)"},"pt-PT":{"helpCenterTitle":"Bem vindo ao Centro de Ajuda","sharedPortalName":"Centro de Ajuda","localeDisplayName":"Portuguese (Portugal)"},"de-DE":{"helpCenterTitle":"Willkommen bei Hilfe","sharedPortalName":"Hilfe","localeDisplayName":"German (Germany)"},"en-US":{"helpCenterTitle":"Welcome to the Service Center Portal","sharedPortalName":"Service Center","localeDisplayName":"English (United States)"},"ko-KR":{"helpCenterTitle":"도움말 센터에 오신 것을 환영합니다.","sharedPortalName":"도움말 센터","localeDisplayName":"Korean (South Korea)"},"pt-BR":{"helpCenterTitle":"Bem vindo ao Centro de Ajuda","sharedPortalName":"Central de Ajuda","localeDisplayName":"Portuguese (Brazil)"},"es-ES":{"helpCenterTitle":"Bienvenido al Centro de ayuda","sharedPortalName":"Centro de ayuda","localeDisplayName":"Spanish (Spain)"},"en-UK":{"localeDisplayName":"English (UK)"},"fr-FR":{"helpCenterTitle":"Bienvenue dans Centre de support","sharedPortalName":"Centre de support","localeDisplayName":"French (France)"},"ja-JP":{"helpCenterTitle":"ヘルプセンターへようこそ","sharedPortalName":"ヘルプセンター","localeDisplayName":"Japanese (Japan)"}},"canEditAnnouncement":false,"siteDefaultLanguageTag":"en-US","userLanguageTag":"en-US","portalThemeColor":"#1c5ae6","helpCenterTitleColor":"#ec9006","bannerMediaApiUrl":"https://api.media.atlassian.com/file//image?token=eyJhbGciOiJIUzI1NiJ9.eyJpc3MiOiI1Y2RjMTAxMy0wNmU3LTQyNDktOTJhZS1kZDk5ZDA2MjFlOGIiLCJhY2Nlc3MiOnsidXJuOmZpbGVzdG9yZTpmaWxlOiI6WyJyZWFkIl19LCJleHAiOjE3NjM0NTk2ODAsIm5iZiI6MTc2MzQ1OTA4MH0.xO8vS6z9nG6dorgdJTxHQGrS1RsMTwhdyt3YKXkL_eg&client=5cdc1013-06e7-4249-92ae-dd99d0621e8b&height=300&mode=fit","bannerMediaApiFileId":"","useDefaultBanner":false,"isBannerAvailable":true,"topBarColor":"#0074e0","topBarTextColor":"#fbf6f6","hasTopBarBeenSplit":true},"portal":{"id":"8","key":"cspd","projectId":13435,"serviceDeskId":8,"name":"Customer Service Document Request Portal","description":"<p>Welcome! You can request a Policy Document using the options provided.</p>","portalBaseUrl":"/servicedesk/customer/portal/8","reqTypes":[{"id":"178","name":"Policy Document Request","descriptionHtml":"<p>Coverage cannot be bound, issued or modified through this request form.</p>","callToAction":"Policy Document Request","introHtml":"<p>Policy Document Request</p>","icon":21126,"iconUrl":"https://focustech.atlassian.net/rest/servicedeskapi/requesttype/icon/type/SD_REQTYPE/id/21126","groups":[40],"key":""},{"id":"174","name":"Emailed request","descriptionHtml":"","callToAction":"Emailed request","introHtml":"<p>Request received from your email support channel.</p>","icon":21320,"iconUrl":"https://focustech.atlassian.net/rest/servicedeskapi/requesttype/icon/type/SD_REQTYPE/id/21320","groups":[],"key":""},{"id":"171","name":"Licensing and billing questions","descriptionHtml":"","callToAction":"Licensing and billing questions","introHtml":"<p>Choose this if you have questions about licensing or billing.</p>","icon":21329,"iconUrl":"https://focustech.atlassian.net/rest/servicedeskapi/requesttype/icon/type/SD_REQTYPE/id/21329","groups":[],"key":""},{"id":"173","name":"Other questions","descriptionHtml":"","callToAction":"Other questions","introHtml":"<p>Don't see what you're looking for? Select this option and we'll help you out.</p>","icon":21342,"iconUrl":"https://focustech.atlassian.net/rest/servicedeskapi/requesttype/icon/type/SD_REQTYPE/id/21342","groups":[],"key":""},{"id":"172","name":"Product trial questions","descriptionHtml":"","callToAction":"Product trial questions","introHtml":"<p>Trying out our product and want more information? Select this and we'll be happy to answer your questions.</p>","icon":21334,"iconUrl":"https://focustech.atlassian.net/rest/servicedeskapi/requesttype/icon/type/SD_REQTYPE/id/21334","groups":[],"key":""},{"id":"175","name":"Report a bug","descriptionHtml":"","callToAction":"Report a bug","introHtml":"<p>Tell us the problems you're experiencing.</p>","icon":21338,"iconUrl":"https://focustech.atlassian.net/rest/servicedeskapi/requesttype/icon/type/SD_REQTYPE/id/21338","groups":[],"key":""},{"id":"176","name":"Suggest a new feature","descriptionHtml":"","callToAction":"Suggest a new feature","introHtml":"<p>Let us know your idea for a new feature.</p>","icon":21328,"iconUrl":"https://focustech.atlassian.net/rest/servicedeskapi/requesttype/icon/type/SD_REQTYPE/id/21328","groups":[],"key":""},{"id":"170","name":"Technical support","descriptionHtml":"","callToAction":"Technical support","introHtml":"<p>Need help installing, configuring, or troubleshooting? Select this to request assistance.</p>","icon":21313,"iconUrl":"https://focustech.atlassian.net/rest/servicedeskapi/requesttype/icon/type/SD_REQTYPE/id/21313","groups":[],"key":""}],"reqGroups":[{"id":40,"name":"Policy Document Request"}],"orderMapping":{"40":[178]},"kbs":{"kbEnabled":true,"kbLink":{"appLinkId":"22b87dc6-8bfe-39fa-bdb6-1a01b2aa5917","appLinkName":"System Confluence","appLinkUrl":"https://focustech.atlassian.net/wiki","spaceKey":"CSPD","spaceName":"Customer Service Policy Document Request Portal","spaceUrl":"https://focustech.atlassian.net/wiki/spaces/CSPD","isServer":false},"labels":[],"projectKey":"CSPD","serviceDeskId":8,"kbLinkDomainURLs":["https://focustech.atlassian.net"]},"createPermission":true,"portalAnnouncement":{"portalId":8,"canEditAnnouncement":false,"canAdministerProject":false,"portalProjectKey":"CSPD","userLanguageHeader":"Policy Document Request Portal","userLanguageMessageWiki":"<p>Coverage cannot be bound, issued or modified through this request form.</p>","defaultLanguageHeader":"Policy Document Request Portal","defaultLanguageMessage":"Coverage cannot be bound, issued or modified through this request form.","defaultLanguageDisplayName":"English (United States)","isUsingLanguageSupport":false,"translations":{}},"canViewCreateRequestForm":true,"isProjectSimplified":false,"mediaApiUploadInformation":{"token":"eyJhbGciOiJIUzI1NiJ9.eyJpc3MiOiI1Y2RjMTAxMy0wNmU3LTQyNDktOTJhZS1kZDk5ZDA2MjFlOGIiLCJhY2Nlc3MiOnsidXJuOmZpbGVzdG9yZTp1cGxvYWQ6KiI6WyJyZWFkIiwiY3JlYXRlIiwidXBkYXRlIl0sInVybjpmaWxlc3RvcmU6Y29sbGVjdGlvbjp1cGxvYWQtcHJvamVjdC0xMzQzNSI6WyJyZWFkIiwiY3JlYXRlIiwidXBkYXRlIl0sInVybjpmaWxlc3RvcmU6Y2h1bms6KiI6WyJyZWFkIiwiY3JlYXRlIl19LCJleHAiOjE3NjM0NjAyODAsIm5iZiI6MTc2MzQ1OTA4MCwiYW5vbklkIjoiYW5vbi11c2VyIn0.RZDCfwvFcXoMmx3Ajr5eFhZYXnE19FqGKuWEpBz7f9E","targetCollection":"upload-project-13435","endpointUrl":"https://api.media.atlassian.com","clientId":"5cdc1013-06e7-4249-92ae-dd99d0621e8b","tokenDurationInMins":20},"categories":{"categoriesSupported":true,"categories":[]}},"reqCreate":{"id":178,"projectId":13435,"issueType":{"id":"2","name":"New Feature"},"form":{"name":"Policy Document Request","descriptionHtml":"<p>Coverage cannot be bound, issued or modified through this request form.</p>","callToAction":"Policy Document Request","intro":"<p>Policy Document Request</p>","instructions":"<p>Coverage cannot be bound, issued or modified through this request form.</p>","icon":21126,"iconUrl":"https://focustech.atlassian.net/rest/servicedeskapi/requesttype/icon/type/SD_REQTYPE/id/21126","key":""},"fields":[{"fieldType":"text","fieldId":"email","fieldConfigId":"","label":"Email confirmation to","description":"","descriptionHtml":"","required":true,"displayed":true,"presetValues":[]},{"fieldType":"text","jiraFieldType":"com.atlassian.jira.plugin.system.customfieldtypes:textfield","fieldId":"customfield_16216","fieldConfigId":"17886","label":"Name","description":"Please enter your full name","descriptionHtml":"<p>Please enter your full name</p>","required":true,"displayed":true,"presetValues":[]},{"fieldType":"text","jiraFieldType":"summary","fieldId":"summary","fieldConfigId":"","label":"Summary","description":"","descriptionHtml":"","required":true,"displayed":false,"presetValues":["Policy Document Request"]},{"fieldType":"text","jiraFieldType":"com.atlassian.jira.plugin.system.customfieldtypes:textfield","fieldId":"customfield_16208","fieldConfigId":"17878","label":"Email Address","description":"Enter your primary email address","descriptionHtml":"<p>Enter your primary email address</p>","required":true,"displayed":true,"presetValues":[]},{"fieldType":"text","jiraFieldType":"com.atlassian.jira.plugin.system.customfieldtypes:textfield","fieldId":"customfield_16211","fieldConfigId":"17881","label":"Phone number","description":"Best contact number for you.","descriptionHtml":"<p>Best contact number for you.</p>","required":true,"displayed":true,"presetValues":[]},{"fieldType":"select","jiraFieldType":"com.atlassian.jira.plugin.system.customfieldtypes:select","fieldId":"customfield_16217","fieldConfigId":"17887","label":"Policy Type","description":"Select the type of Policy","descriptionHtml":"<p>Select the type of Policy</p>","required":true,"displayed":true,"presetValues":[],"values":[{"value":"20957","label":"Home","selected":false,"children":[]},{"value":"20958","label":"Auto","selected":false,"children":[]},{"value":"20959","label":"Flood","selected":false,"children":[]},{"value":"20960","label":"Umbrella","selected":false,"children":[]},{"value":"20961","label":"Commercial","selected":false,"children":[]}],"noneOptionRequired":true},{"fieldType":"select","jiraFieldType":"com.atlassian.jira.plugin.system.customfieldtypes:select","fieldId":"customfield_16209","fieldConfigId":"17879","label":"Document Request Type","description":"Select the option for your Document Request type","descriptionHtml":"<p>Select the option for your Document Request type</p>","required":true,"displayed":true,"presetValues":[],"values":[{"value":"20952","label":"Policy Jackets","selected":false,"children":[]},{"value":"20953","label":"Declaration Pages","selected":false,"children":[]},{"value":"20954","label":"ID Cards","selected":false,"children":[]},{"value":"20955","label":"EOI (Evidence of Insurance)","selected":false,"children":[]},{"value":"20956","label":"COI (Certificate of Insurance)","selected":false,"children":[]}],"noneOptionRequired":true},{"fieldType":"text","jiraFieldType":"com.atlassian.jira.plugin.system.customfieldtypes:textfield","fieldId":"customfield_16212","fieldConfigId":"17882","label":"Policy Number","description":"Enter your Policy Number","descriptionHtml":"<p>Enter your Policy Number</p>","required":false,"displayed":true,"presetValues":[]},{"fieldType":"textarea","jiraFieldType":"com.atlassian.jira.plugin.system.customfieldtypes:textarea","fieldId":"customfield_16213","fieldConfigId":"17883","label":"Property Address","description":"If applicable, enter the full address of the property location.","descriptionHtml":"<p>If applicable, enter the full address of the property location.</p>","required":false,"displayed":true,"presetValues":[],"rendererType":"jira-text-renderer"},{"fieldType":"text","jiraFieldType":"com.atlassian.jira.plugin.system.customfieldtypes:textfield","fieldId":"customfield_16215","fieldConfigId":"17885","label":"Business Name","description":"If applicable, enter the Business Name.","descriptionHtml":"<p>If applicable, enter the Business Name.</p>","required":false,"displayed":true,"presetValues":[]},{"fieldType":"text","jiraFieldType":"com.atlassian.jira.plugin.system.customfieldtypes:textfield","fieldId":"customfield_16214","fieldConfigId":"17884","label":"Auto Make and Model","description":"For Auto Document requests, please enter the make and model of your vehicle","descriptionHtml":"<p>For Auto Document requests, please enter the make and model of your vehicle</p>","required":false,"displayed":true,"presetValues":[]}],"userOrganisations":[],"canBrowseUsers":false,"requestCreateBaseUrl":"/servicedesk/customer/portal/8/create/178","requestValidateBaseUrl":"/servicedesk/customer/portal/8/validate/178","calendarParams":{"firstDay":0,"date":"2025-11-18T04:44:40-0500","useISO8601WeekNumbers":true,"dateIfFormat":"%e/%b/%y","dateTimeIfFormat":"%e/%b/%y %I:%M %p","timeFormat":"12"},"kbs":{"kbEnabled":true,"kbLink":{"appLinkId":"22b87dc6-8bfe-39fa-bdb6-1a01b2aa5917","appLinkName":"System Confluence","appLinkUrl":"https://focustech.atlassian.net/wiki","spaceKey":"CSPD","spaceName":"Customer Service Policy Document Request Portal","spaceUrl":"https://focustech.atlassian.net/wiki/spaces/CSPD","isServer":false},"labels":[],"projectKey":"CSPD","serviceDeskId":8,"kbLinkDomainURLs":["https://focustech.atlassian.net"]},"canRaiseOnBehalf":false,"canSignupCustomers":false,"canCreateAttachments":true,"attachmentRequiredField":false,"hasGroups":true,"canSubmitWithEmailAddress":false,"showRecaptcha":true,"siteKey":"6LePXLkdAAAAAF4gCNalrL1IvZcqbNbZf_Zakudd","mediaApiUploadInformation":{"token":"eyJhbGciOiJIUzI1NiJ9.eyJpc3MiOiI1Y2RjMTAxMy0wNmU3LTQyNDktOTJhZS1kZDk5ZDA2MjFlOGIiLCJhY2Nlc3MiOnsidXJuOmZpbGVzdG9yZTp1cGxvYWQ6KiI6WyJyZWFkIiwiY3JlYXRlIiwidXBkYXRlIl0sInVybjpmaWxlc3RvcmU6Y29sbGVjdGlvbjp1cGxvYWQtcHJvamVjdC0xMzQzNSI6WyJyZWFkIiwiY3JlYXRlIiwidXBkYXRlIl0sInVybjpmaWxlc3RvcmU6Y2h1bms6KiI6WyJyZWFkIiwiY3JlYXRlIl19LCJleHAiOjE3NjM0NjAyODAsIm5iZiI6MTc2MzQ1OTA4MCwiYW5vbklkIjoiYW5vbi11c2VyIn0.RZDCfwvFcXoMmx3Ajr5eFhZYXnE19FqGKuWEpBz7f9E","targetCollection":"upload-project-13435","endpointUrl":"https://api.media.atlassian.com","clientId":"5cdc1013-06e7-4249-92ae-dd99d0621e8b","tokenDurationInMins":20},"hasProformaForm":false,"proformaTemplateForm":{},"proforma":{"formExists":false,"formValid":false},"key":""},"portalWebFragments":{"headerPanels":[],"subheaderPanels":[],"footerPanels":[],"pagePanels":{"propertyPanels":[],"legacyPropertyPanels":[]}}}