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Hospitality Insurance Group 106 Southville Road Southborough, MA 01772 HMIC.com / 8773661140BUSINESS OWNERS POLICY (BOP) APPLICATION Agent Name:___ Address:___ Phone:___Email:___Applicant Information
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Start by entering the agent's full name in the designated field.
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Enter the agent's complete address including street address, city, state, and zip code.
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Who needs agent name address?

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People who are filling out forms or documents that require the identification of a representative or agent.
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Organizations or businesses that need to keep record of their agents for legal or administrative purposes.
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An agent name address is the registered address of a designated agent who is authorized to receive legal documents and official correspondence on behalf of a business or individual.
Businesses and individuals who have appointed an agent for service of process are required to file an agent name address.
To fill out an agent name address, provide the full name of the designated agent, their physical address (not a P.O. box), and any necessary contact information as specified by your jurisdiction's forms.
The purpose of the agent name address is to ensure there is a reliable point of contact for legal communications, ensuring that important documents are received and addressed in a timely manner.
The information that must be reported includes the full name of the agent, the complete physical address, contact phone number, and email address if required.
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