Oregon FAIR Plan Association
     "THE INSURANCE MARKET OF LAST RESORT"

Agent Registration







Complete this registration form and submit it to the OFPA to enable access to your client's policies online, as well as the Quick Quote program for Dwellings, Mobile Homes and Farms Quotes. Please fully complete this form before submitting it to the OFPA. Your sign-on ID and temporary password will be sent to you by email at the address you submitted for the agency email address.

We can only authorize one registration for each agency, so please use the Agency Tax ID or the Agent's SSN, (whichever is used to file Income Taxes) and only one email address for the agency. We are not able to authorize individual producers, multiple users or more than one email address within an agency.

YOU MUST BE AN INSURANCE AGENT IN ORDER TO REGISTER

Please fill in the information and click "Submit"

* = Required Field

*Agency Name:
*Organization:
*Address (Line1):
Address (Line2):
*City:
*State:
*Zip Code:
*Phone No.: xxx-xxx-xxxx
*Fax No : xxx-xxx-xxxx
*E-Mail:
*Tax ID or FEIN:
*Insurance License No.:
Corporation:
  
Copyright © All Rights Reserved by Oregon FAIR Plan Association | Sitemap | Privacy Policy