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Get National Safety Code Authorization Form 2014-2024

SURANCE AGENT AND FORWARDED TO THE NSC PROGRAM OFFICE UPON REQUEST. A NEW AUTHORIZATION LETTER MUST BE COMPLETED FOR EVERY INSURANCE TRANSACTION. I grant authority to _________________________________________________________ NAME (please print) to operate under my National Safety Code Safety Certificate number _____________________________________ on vehicle documents pertaining to the following NSC Number vehicle(s): REGISTRATION # PLATE # VEHICLE DESCRIPTION I understand and accept my resp.

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