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NATIONAL INSURANCE PRODUCER REGISTRY Producer Report Request Form Mail Form and Fee to If Requesting a Fee Waiver see below Mail to NIPR P. Individual Named Producer Signature - Required Agency requests signature of requesting person Date Insurance companies law firms etc. must sign a separate contract/release form. Contact NIPR Marketing at 816-783-8467 to be set up as a PDB customer. Processing Fees For Individual Producers Only 1. Under the Fa.

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