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  Developing a relationship with Mid Atlantic Insurance Services, Inc. will be the most rewarding thing you do for your business this year! What do we need from you? Just a few things:
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> Fill out our broker agreement.
> Fill out our direct deposit form.
> Fill out a tax form.
> Provide a copy of Errors and Omissions insurance declarations page(s).
> Copy of agency license
> Copy of all state licenses
> Copy of agent licenses that work for your company

Please fax the above information to “New Agent Appointment” at 804-377-1169. Please note: policy coverage cannot be bound until we have the above information.
   
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