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Do I have to fill out the Electronic Partnering/Confidentiality Agreement?

Yes, ALL companies with the authority to write workers’ compensation policies must complete this agreement to include the company’s NAIC number, contact name, phone number and email address. This agreement must be completed and faxed to our office at (573) 522-1623. Upon receiving this completed agreement, the Division then can supply your company contact with the unique Access Code & ID Number that is assigned to your company.

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