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Shaking Hands





Thank you for your interest in the Insurance Agents’ Co-Operative, a service designed with the insurance producer in mind. We look forward to receiving your first submission; however, we will need some additional information prior to that. If you have any questions, please feel free to contact us. We look forward to working with you!

We will need the following to be reviewed for appointment:

  • Producer Agreement

  • W9 form

  • Errors and Omissions declaration page

  • Copies of all producer licenses

  • Copy of the agency's insurance licenses

Download the Producer Agreement

& W9 Form here.

Fax completed application to (630) 541-5865 or send it via email.

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