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4/2015 STATE REAL ESTATE COMMISSION PO Box 2649 Harrisburg PA 171052649 Phone Number 7177833658 Fax Number: 7177870250 www.dos.pa.gov/estate REACTIVATION APPLICATION: BROKER OF RECORD CEMETERY BROKER
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A broker of record is a licensed insurance agent who is authorized to represent an insured party in negotiating insurance contracts with insurance companies.
Insurance brokers, agents, or officers who are responsible for negotiating insurance contracts on behalf of clients are required to file a broker of record.
The broker of record form typically requires the basic information of the insured party, the insurance policy in question, and the reason for requesting a change in the broker of record.
The broker of record serves as the official representative of the insured party in all matters regarding insurance contracts and negotiations with insurance companies.
The broker of record form typically requires the name and contact information of the insured party, details of the insurance policy, and the reason for requesting a change in broker of record.
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