MAGIC sub-producer addition
Email completed form to: PSG@markel.com.
Agency information:
AUI producer #:
Agency name:
AUI agent producer code (p-code):
Sub-producer agency name:
Sub-producer Federal ID #:
Is sub-producer incorporated?
Yes No
Sub-producer website address:
Sub-producer street address:
Sub-producer state: Sub-producer zip:Sub-producer city:
Sub-producer fax #:Sub-producer phone #:
Producer user
First and last name
Producer email address
User name
(Markel use only)
Password
(Markel use only)
Date of activation
(Markel use only)
Markel Personal Lines
Request to add a sub-producer to MAGIC
Due to security requirements brought about by the Sarbanes Oxley Act, each of your sub-producers must be assigned an individual user ID
and password to connect to our system. Complete a separate form for each sub-producer. All information below must be provided in order for
us to set-up this sub-producer for remote connectivity.
Appalachian Underwriters, Inc.
10450
