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Box 9190, Des Moines, IA 50306-9190

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The document is a comprehensive application and agreement form for producers seeking appointment and contracting with ReliaStar Life Insurance Company and its affiliates. It includes sections for applicant information, errors and omissions coverage, a detailed questionnaire regarding the applicant's background, anti-money laundering training requirements, compensation details, and conditions of the agreement. The document outlines the responsibilities of both the producer and the company, including compliance with laws, record-keeping, and procedures for termination of the agreement.

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