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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.  |
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Fill out our direct deposit form.
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Fill out a tax
form.  |
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Provide a copy of Errors and
Omissions insurance declarations page(s).  |
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Copy of agency license  |
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Copy of all state licenses  |
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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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