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Sign Your Service Agreement

Instructions​​​

  • Review The Terms, Input Company Info Below and Sign. 

  • Do Not Submit any document until they have been requested. ​

  • Respond the Any Subsequent Emails

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Lastly, The US VA will require your Agency to Have Insurance prior to contracting. However, there will be time to get it if you don't have it. And as you know the United States Veteran Affairs as a Federal Agency has the right to accept and or reject any Provider into their network. However if your are charge and then later rejected  you will be given a credit for us to apply for any other Insurance Carrier on your behalf.

 

To Start your VA Contract Enrollment Review This Service Agreement and Acknowledge Acceptance with the Terms Below

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