Accordia life and annuity company forms 2025

1. Click ‘Get Form’ to open the Independent Producer Contract Appointment Application and Agreement in the editor.
2. Begin by filling out the 'Company' section, checking all applicable Accordia companies you wish to apply for an Independent Producer Contract.
3. In the 'New Business' section, provide the Owner’s Name, State of Sale, and Date of Application.
4. Complete the 'Applicant Information' section. Ensure all required fields marked with an asterisk (*) are filled out accurately, including your Last Name, First Name, Social Security Number, and contact details.
5. Address the 'Errors & Omissions Coverage' section by indicating whether you currently have coverage and providing necessary details if applicable.
6. Respond to all questions in the 'Questionnaire' section truthfully. Attach explanations for any affirmative answers as required.
7. Fill in your Recruiter information accurately to ensure proper processing of your application.
8. Review all sections for completeness before submitting your form back to your recruiter through our platform.

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