REQUEST AN APPOINTMENT

Please use the form below to request an appointment at the office and the date/time of your preference. In order to ensure an RG team member is available, please request your appointment no less than 24 hours in advance.

PROCESS

Complete Appointment Request Form for your desired date and time (but please – no less than 24 hours in advance. If you have an emergency issue, please call 800-553-1801).
RogersGray will confirm your appointment via email with the details including the location, date, time, and staff member you will be meeting with.

First Name and Last Name of Policy Holder*
First Last
Please Indicate your Client Status?*
- Current Client
- Prospective Client
Service Office Preference*
Please do not consider your appointment confirmed until you receive an official email confirmation from RogersGray.
What Can We Assist you With?*
Please describe what assistance you will need during your appointment.
Date*
MM slash DD slash YYYY

No less than 24 hours in advance please.
Time*

: Hours

Minutes

AM/PM

Appointments can be scheduled between 9 am and 4 pm. No less than 24 hours in advance please.
Preferred Email for Appointment Confirmation*
Phone Number
Please upload any supporting documents
Drop files here or

Max. file size: 50 MB.

Corporate Address

434 Route 134
South Dennis, MA 02660

Office Hours

Monday-Friday 8:30am-4:30pm

Call Us

508-619-4545

Inquires and Assistance

877-504-7192

FAX

877-816-2156

Office Locations

Buzzards Bay
Dennis
Dennis Village
Falmouth
Hyannis
Kingston
Mashpee
Mattapoisett
Nantucket
Orleans
Sandwich
Wareham