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Kristen TaylorNational Marketing Director Email: ktaylor@usgins.com |
Please submit the supplemental application below along with standard Acord applications.
Instructions:
1. Download the application by clicking the button above.
2. An adobe pdf file will open, use your cursor to customize the text marked as "Agency Name", "Agency Website" and "Agency Phone." Use those fields to input the appropriate data. Once the data has been customized you may print the file.
3. This is a fillable form, which means you can complete the fields inside your computer by clicking with your mouse on the right area and filling the appropriate information. Once completed, remember to print the form.
4. You may save the original file, but the changes made to the document will not be saved unless you are using Adobe Professional.
Submitting this application in no way binds coverage. An official binding notification must be issued to obtain coverage.
