Follow the steps to complete your registration with ease.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by filling in the 'Agency Registration Information' section. Enter your agency name and address accurately, followed by your full name, title, phone number, fax number, and email address.
3. In the 'User Name Information' section, create a username that is at least 8 characters long, combining letters and numbers. Be mindful that if your chosen username is already in use, it may be modified to ensure uniqueness.
4. Proceed to the 'Agency Codes' section. List all agency codes associated with your agency. If necessary, you may attach a second sheet to provide additional codes.
5. Review all the information you have entered to ensure accuracy. Once satisfied, proceed to the signature line.
6. Sign the form in the designated area. Indicate the date of signature to confirm your agreement to maintain the security of the provided User ID and password.
7. Once all fields are completed and the form is signed, you can submit it. Choose to fax the completed form to (888) 603-3399 or mail it to the Michigan Insurance Company at the provided address.
8. After submission, await confirmation of your access being granted. Ensure to check your email or other contact methods for notifications.

Complete your Mico Agency registration online today for secure access to your agency's services.