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Agent Service Request Center

Need assistance? We're here to help.

Submit your service request using the form below, including the carrier(s) involved and a brief description of what you need. Once submitted, you'll receive a unique case number and an immediate email confirmation with your request details for easy reference.

Need to include documents or attachments? Simply reply to your confirmation email with the files attached, and they'll automatically be added to your service request.

Submitter Information

All updates about this request will be sent to this email.

Received Information
Select a Type first.
Hold Ctrl (Windows) or Cmd (Mac) to select more than one state.
Agent Demographic Information

  Reminder if you need to include documents or attachments - Simply reply to your confirmation email with the files attached, and they'll automatically be added to your service request.

 

*For agent use only. Not affiliated with the U. S. government or federal Medicare program. This website is designed to provide general information on Insurance products, including Annuities. It is not, however, intended to provide specific legal or tax advice and cannot be used to avoid tax penalties or to promote, market, or recommend any tax plan or arrangement. Please note that PSM Brokerage, its affiliated companies, and their representatives and employees do not give legal or tax advice. Encourage your clients to consult their tax advisor or attorney.