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Agency Numbers - Section 1: Personal Lines

Please fill out the details below for Personal Lines:
Your Name(Required)
Company Name(Required)

Insurance Carriers


Premium Volume

Enter $ Amount Below:


Profit Sharing/Bonus

Enter $ Amount Below:


Loss Ratio %
Enter $ Amount Below:

Safeco

Travelers

Nationwide

Encompass

Allstate

Formost Signature

Foremost Specialty

Hagerty

Selective

Austin Mutual

State Auto

Still Water

The Hartford

American Modern

National General

Next Page: Commercial Lines