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Becoming a New MexiPass Producer
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Producer Agreement Required Documents

Required Documents

The following are all the Required Documents to become an
appointed MexiPass Producer:
  1. Fully Completed and Signed Producer Agreement Form
  2. A copy of a Valid Insurance License.
  3. Proof of Errors & Omission Coverage
      (Dec Page or Certificate of Insurance)
  4. Completed W9-Form
  5. Proof of established Business Bank Account (Voided Check)
  6. A list of any other offices with contact names (if applicable)

For faster processing, submit all documents .
You may also submit by fax to (800) MEXIFAX
or by mail to: MexiPass
                    P.O. Box 60727
                    Pasadena, CA 91116-6727
Once recieved, a Confirmation Email will be sent back to you         with your Producer Code and Login instructions.

 


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