Care Improvement
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Care Improvement Contract and Certification Information

Once you completed your contract please fax back ONLY the Signature pages to 972-517-4146.
Also include a copy of your Insurance License, W-9 form and E&O coverage.
If you have any question call Teresa 214-957-4145

Click here to complete Agent Information

Click here to download CIP Contract and Commission

Click here to download CIP Appointment Information

Click here to download W-9