Section 1 of 3: Agency Information

Please fill out all sections completely in order to receive your complimentary compensation study.

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* 1. Please enter your agency primary location information?

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* 2. What was your total annual P&C last year...

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* 3. How many Policies in Force (PIFs) did you have last year?

0 100,000
i We adjusted the number you entered based on the slider’s scale.

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* 4. What is your Agency Federal Employer Identification Number [FEIN]? (9 digits - if this is your SSN, please leave blank)

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* 5. What is your Agency National Producer Number (NPN)?

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* 6. What is your name?

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* 7. What is your Employee NPN?

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* 8. What is your company email address?

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* 9. What is your role in the agency?

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* 10. What is your current percentage ownership in the agency? (enter 0-100)

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* 11. What is your birthdate? (mm/dd/yyyy)

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* 12. How many hours do you work per week?

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* 13. What was your total annual salary breakdown?

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* 14. How many years of insurance experience do you have?

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* 15. Which designations do you currently hold?

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* 16. What was your hire date at the agency? (mm/dd/yyyy)

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* 17. Please enter the number of accounts you manage.

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