Account notice delivery options for Agents

FIRST Insurance Funding Corp. can provide notices to your agency in a variety of ways including postal mail, email, fax, and any combination of these delivery methods. Emailed notices can be delivered to as many email recipients as you require. To take advantage of this offering, please complete the form below.

GO PAPERLESS! By selecting email notices, you can go paperless and go green. Please note that FIRST may be required by law to send certain notices via postal mail. Please enter your contact information below and complete the delivery options for each notice. If you would like ALL NOTICES to be delivered the same way, please select the ALL NOTICES button below to complete the delivery options form for all account notices.




GENERAL CONTACT INFORMATION


ALL NOTICES (Select for all notice delivery)

DELIVERY METHOD - Please enter the appropriate information in the fields below for ALL Notices delivery options you wish to receive.

*If you wish to receive notices via fax, please enter the fax number to which the notices should go below in the FAX ALL field.
*If you wish to receive notices via email, please enter the email address(es) below in the EMAIL ALL field.
*If you wish to receive notices via postal mail, please enter an "X" in the POSTAL MAIL ALL field.

 

DELIVERY METHOD (Select all that apply)


NOTICE OF ACCEPTANCE

DELIVERY METHOD - Please enter the appropriate information in the fields below for ALL Notices delivery options you wish to receive.

*If you wish to receive notices via fax, please enter the fax number to which the notices should go.
*If you wish to receive notices via email, please enter the email address(es).
*If you wish to receive notices via postal mail, please enter an "X" in the postal mail field.


NOTICE OF INTENT TO CANCEL

DELIVERY METHOD - Please enter the appropriate information in the fields below for ALL Notices delivery options you wish to receive.

*If you wish to receive notices via fax, please enter the fax number to which the notices should go.
*If you wish to receive notices via email, please enter the email address(es).
*If you wish to receive notices via postal mail, please enter an "X" in the postal mail field.


NOTICE OF CANCELLATION

DELIVERY METHOD - Please enter the appropriate information in the fields below for ALL Notices delivery options you wish to receive.

*If you wish to receive notices via fax, please enter the fax number to which the notices should go.
*If you wish to receive notices via email, please enter the email address(es).
*If you wish to receive notices via postal mail, please enter an "X" in the postal mail field.


REQUEST FOR REINSTATEMENT

DELIVERY METHOD - Please enter the appropriate information in the fields below for ALL Notices delivery options you wish to receive.

*If you wish to receive notices via fax, please enter the fax number to which the notices should go.
*If you wish to receive notices via email, please enter the email address(es).
*If you wish to receive notices via postal mail, please enter an "X" in the postal mail field.


By typing in your name, you certify that all fields are correct:

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