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Filling out the 2016 Conflict Of Interest Form for Crop Insurance can seem daunting, but with clear guidance, the process becomes manageable. This guide will lead you through each section of the form, ensuring you provide the necessary information accurately and efficiently.

Follow the steps to complete the form online.

1. Click ‘Get Form’ button to obtain the form and open it in the designated online editor.
2. Begin filling out your personal information, including your full name, address, and the last four digits of your Social Security Number. Ensure that all information is accurate and up-to-date.
3. Indicate your position by selecting ‘Part-Time Adjuster, Agent or Employee’ and, if applicable, provide the name of your agency.
4. Complete the Profit Center section if relevant to your role.
5. If you completed a Conflict of Interest Disclosure form last year and no information has changed, check the appropriate box.
6. Respond to each question regarding your potential conflict of interest. For each question, select either ‘Yes’ or ‘No’. Pay careful attention to your relationships and business connections.
7. If you answered ‘Yes’ to any questions, make a note of the corresponding question number and provide details of the policyholder name, relationship, and policy number in the space provided.
8. Review and understand the certification statements. Once you are confident that all provided information is true and complete, sign and date the form.
9. After completing the form, you can save your changes, download a copy for your records, print it, or share it as needed.

Complete your 2016 Conflict Of Interest Form - Crop Insurance online today!