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Your agency code is your six digit Farmers agent code (without the commission series)

Farmers Agency Code:
(Your code is your six digit Farmers agent code without the commission series)
First Name:
Last Name:
Farmers Agent Email Address:
Street Address:
City:
State:
Zip Code:
Phone:
Fax:
By checking this box I certify that I am currently a licensed insurance agent of Farmers Insurance.