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All states other than Florida and Wisconsin: Cancellation Form_March 2017
for Florida: Cancellation Form_FL_March 2017
for Wisconsin: Cancellation Form_WI_July2013.pdf
All states other than Florida and Wisconsin: Transfer Form_July 2013.pdf
for Florida: Transfer Form_FL_July 2013.pdf
for Wisconsin: Transfer Form_WI_July2013.pdf
All states other than Florida and Wisconsin: Remittance Form_July 2013.pdf
for Florida: remittance Form_FL_July 2013.pdf
for Wisconsin: Remittance Form_WI_July 2013.pdf
Remittance form procedures are: RemittanceForm_Procedures_Jan07.pdf
Dealer Service Agreements
All states other than Florida and New York: Ding Shield Dealer Service Agreement Jan2011.pdf
for New York: Ding Shield Dealer Service Agreement_NY_Jan2011.pdf
for Florida (both documents must be filled out and returned): FL PDR GAI Producer Agreement 2011_1.pdf & Agency-Agent App Form_FL.pdf
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If so, you could earn $1,000*.
Refer A Friend
*Referral Reward amount may vary based on position type and/or location – minimum reward amount is $1,000.
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