Signed Agent Agreement-please complete all fields including emailAgent Agreement • June 24th, 2009
Contract Type FiledJune 24th, 2009* If we are to pay commissions to an Agency or Corporation, and you are not the Owner / Officer, we need an assignment of commissions signed by you and we must have another License Request Form completed by the Agency Owner / Officer; and copies of their license. Include the Agency’s license if applicable in your state.