
Get the free PLEASE FILL OUT COMPLETELY - It Risk Managers Inc
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BROKER QUESTIONNAIRE (PLEASE FILL OUT COMPLETELY) 1.GENERAL 1 Name of Firm 2 Principal Address 3 Mailing Address 4 Telephone 5 States Licensed for E&S FAX: ll. PERSONNEL 1 Principals×Partners×Owners
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Anyone who is mandated to do so by the governing body or organization.
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The purpose is to gather necessary information for record-keeping, compliance, or decision-making purposes.
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