Thank you for your interest in working with J.E. Brown. First, we need to know a little bit about you and your agency.
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The common name for your business.
Provide the name exactly as it appears on your last federal income tax return.
Provide the name exactly as it appears on your current E&O declarations page.
Provide information for your main branch's physical location. Do not use a P.O. Box or mail service address.
As reported on the federal income tax return.
Use the license number for your primary state of business.