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Who is your NVP? *

Department

General Support

Licensing *

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New Business/Commissions *

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Policy Number Support

Cycle Date

MM-DD-YYYY

Company Support

Premium Amount

Target Points

Date Submitted Policy

MM-DD-YYYY

Did you review every cycle under the "Summary Commission Statement" in the GFI agent portal to make sure it wasn't overlooked? *

If first policy, by any chance were you contracted with a previous IMO?

Did the policy get rewritten or resubmitted? *

Did you wait the recommended number of days since the policy premium was paid? *

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