W-9 Form Requirements for ALL Agencies

In order for each agency to be paid their commission directly by International Insurance Group, Inc., they must have a W-9 form filled out COMPLETELY and submitted to the International Insurance Group's corporate accounting office prior to such payment. Each agencies Principal will need to fill out this form. Upon completion of the form, fax it to the corporate office, attention Angelica Ford, at (928) 779-7221.

W-9 Form

Please note: To complete the application process, you will need to enter your IIANM national ID in the "AGT-DST#" box. If you do not know this number, please contact Rachel at the IIANM office.