Get Affiliation Of Producer

The Affiliation Of Producer form is essential for establishing or modifying relationships between producers, adjusters, or consultants and their respective business entities in the insurance sector. This guide provides step-by-step instructions to ensure a smooth and efficient completion of the form online.

Follow the steps to complete the Affiliation Of Producer form correctly.

1. Press the ‘Get Form’ button to access the form and open it in your chosen editor.
2. Identify the correct category from the options provided: Producer, Adjuster, or Consultant.
3. Input the name of the individual being affiliated, designated, or removed in the designated field.
4. Enter the Oregon producer license number associated with the individual.
5. Fill in the business name, business address, and city, state, ZIP code for clarity.
6. Include the business entity license number that corresponds to the agency.
7. Provide a valid business email address for communication purposes.
8. In the affiliation section, specify whether you are adding or removing the affiliation of a licensed producer, adjuster, or consultant.
9. Select the classes linked to the affiliation or removal; options include Property, Crop, Health, and others.
10. For designating a responsible producer, note this on the appropriate section and indicate whether you are designating or removing them.
11. Print or type the name of the owner or officer in the corresponding field.
12. Enter the date of affiliation, removal, or designation as applicable.
13. Ensure the owner or officer signs the form to validate the information provided.
14. Finalize by signing and dating the form before submission.
15. Save any changes you have made, and proceed to download, print, or share the completed form as needed.

Start completing your Affiliation Of Producer form online today.