State fund 2026

1. Click ‘Get Form’ to open the state fund document in the editor.
2. Begin by entering the employer's name and mailing address at the top of the form. Ensure that all details are accurate for proper identification.
3. Next, input the current date in the designated field. This is important for record-keeping and processing timelines.
4. Fill in the policy or quote number along with the renewal date. These details help in tracking your specific insurance policy.
5. Type your agency’s name clearly in the provided section to establish your representation.
6. In the body of the letter, confirm your appointment of Arthur J. Gallagher/StateFund First as your exclusive Broker of Record by typing their name and access number.
7. Finally, sign and print your name along with your title at the bottom of the document to validate this appointment.

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