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Diversified Agrisurance Company
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Welcome to DAC Agent Registration! If you are an authorized DAC agent, please fill out and submit the short form below. We will then contact you within 12 to 24 hours with your access information. Enter your vital information beginning with your DAC Agency number, your e-mail address and preferred password.
If you need assistance or have forgotten your password, please contact Kristina Edinger at DAC via e-mail or telephone at 1.800.444.3584
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Agency Number
Agency/Agent Name
Agency Contact Name
Agent Email Address
Agency Address Line 1
Agency Address Line 2
Agency City
Agency State
Agency Zip Code
Preferred Password