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Community Insurance & Associates
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  • Personal
    Personal Insurance

    Specialized coverage for individuals and families in Wisconsin.

    Get InsuranceGet Insurance
    Homes &
    Property
    Cars &
    Trucks
    Life
    Insurance
    Personal
    Umbrella
    Flood
    Insurance
    Jewelry &
    Valuables
    Boats &
    Watercraft
    Motorcycle &
    Powersports
    • Homeowners
    • High Net Worth
    • Vehicles
    • Life
    • Umbrella
    • Boat
    • Landlords
  • Private Client
  • Business
    Business Insurance

    Customized coverage for all types of businesses, large and small.

    Get InsuranceGet Insurance
    Commercial
    Property
    Business
    Vehicles
    General
    Liability
    Workers
    Compensation
    We provide businesses with a variety of different coverage & policy options that fit their needs.
    View All Policy Types
    • General Liability
    • Workers Comp
    • Commercial Auto
    • Commercial Property
    • Professional Liability
    • Business Owners Policy (BOP)
    • Commercial Package
    • EPLI Insurance
    • Cyber Liability
  • About
    Our Company
    • About Us
    • Our Team
    • Client Reviews
    • Video Testimonials
    • Blog
    • Careers
    Get in Touch
    • Call: 800-264-6419
    • Contact Us
    • Refer Friends & Family
    • Office Locations
    Latest Articles
    • Farmers Market Vendors: Are You Actually Covered?

      Farmers Market Vendors: Are You Actually Covered?

    • Teen Driver Added to the Family? Here’s What to Know

      Teen Driver Added to the Family? Here’s What to Know

    All Blog ArticlesAll Blog Articles
    • About Us
    • Our Team
    • Contact
    • Latest Reviews
    • Refer Friends & Family
    • Blog
    • Careers
  • Locations
    • Amherst Office
    • Iola Office
    • Stevens Point Office
    • Waupaca Office
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Agent of Record Form

Submit your policy information below to transfer your current policies to Community Insurance & Associates.

Agent of Record FormGravity Certs2025-04-18T15:55:11-05:00

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Account Type*
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Primary Insured Name*
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2nd Policy
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4th Policy
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Insured Mailing Address*
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    I wish to name Community Insurance & Associates as our exclusive representative for the policy numbers entered above, currently in force or submitted by application. This authorization replaces any other authorization that may have been previously completed for any other insurance representative for the stated lines of business.*
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