Affirmative Insurance Services P.O. Box 9284 Oak Brook, IL 60522-9284   Billing 800-683-7081 Please Call Claims 800-319-6258 claimsconnection@affirmativeinsurance.com Marketing 800-333-5530 Customer Service 800-683-7081 Please Call Premium Accounting ACD Line 800-333-5530 X-6374 M-F 8:30am-5:00pm Website feedback   WebFeedback@affirmativeinsurance.com   If you are interested in writing business with us, please contact Marketing. For your convenience, you can download and fill out our application for producer contract by clicking on the link below. Countrywide Direct Deposit of Commissions Form Countrywide Account Sweep Withdrawal Form To view this document you will need to have an Adobe Acrobat PDF viewer installed on your computer. If you need the latest version of Adobe Acrobat PDF viewer you can click here to download it

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