Requester:
The Requester MUST be the Agent/Principal/Office Administrator and MUST supply a valid E-mail address for this request to be honored. First time users, please
click here
for instructions.
Requester Name
Agency Name
Requester E-mail
Requested For:
Please complete the information below for up to 20 different accounts. If you have more than one North Pointe Agent Code, please include any additional agency codes in the comments section, making sure to specify which user names(s) each applies to. The login credentials will be shared by the QBE team processing this request.
Name
Agency
SubPro
User Id
User
Agent/CSR E-mail
Code
Type
e.g.
John Doe
12345
jdoe15
Customer Rep
jdoe@agency.com
1.
Appointed Agent
Customer Rep
Financial
Manager
Principal
1 account(s) listed.
Comments:
Any questions, concerns, or a request to delete a user from your agency security file can be expressed in the field below.
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