Common Contracts

BROKER – CARRIER AGREEMENT

Broker – Carrier Agreement • August 25th, 2014 • Ohio

• Contract Type
  Broker – Carrier Agreement
• Filed
  August 25th, 2014
• Jurisdiction
  Ohio

This Broker – Carrier Agreement (the "Agreement") is made this day of , 20 , by and between PartnerShip LLC, 29077 Clemens Rd., Cleveland, OH 44145 ("Broker"), and

✓ Signed Broker‐Carrier Agreement ‐ make sure to sign and fill out completely ✓ Completed W‐9 ‐ a blank W‐9 has been included for your convenience (if needed) ✓ Worker’s Compensation Insurance Copy ✓ Copy of MC Authority Document ✓ New Carrier Profile...

Broker-Carrier Agreement • February 11th, 2014 • Ohio

• Contract Type
  Broker-Carrier Agreement
• Filed
  February 11th, 2014
• Jurisdiction
  Ohio

For your convenience, we offer several options for sending the necessary documentation: email, fax, or mail. We look forward to working with you!