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Members Insurance Center Agent of Record Tampa, Florida Insurance Company: Date: Name of Insured: Policy Number(s): To Whom it May Concern: Effective immediately, please recognize Members Insurance
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The bagentb of brecordb is the individual or entity appointed to act on behalf of the record holder.
The record holder or their authorized representative is required to file the bagentb of brecordb.
The bagentb of brecordb can be filled out by providing the necessary information about the appointed agent, including their contact details and the scope of their authority.
The purpose of the bagentb of brecordb is to designate an individual or entity to act on behalf of the record holder in specific matters.
The bagentb of brecordb must include the name, contact information, and authority of the appointed agent.
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