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Broker of Record Form Broker Instructions: Complete Sections A, B and C: Instructions to Pool: Please maintain this form in accordance with public disclosure requirements. An electronic copy is to
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What is broker of record form?
A broker of record form is a document that designates the insurance broker who will be responsible for managing an insurance policy on behalf of the insured.
Who is required to file broker of record form?
The insured party or policyholder is typically required to file the broker of record form.
How to fill out broker of record form?
The broker of record form can usually be filled out by providing the necessary information about the new broker and signing the document.
What is the purpose of broker of record form?
The purpose of the broker of record form is to officially designate a new insurance broker to handle a specific insurance policy.
What information must be reported on broker of record form?
The broker of record form typically requires information such as the names of the insured parties, policy details, and contact information for the new broker.
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