Customer Registration - Diversified Agrisurance

Customer Registration

Customer Registration

Welcome to DAC Customer Registration! If you are an DAC policy holder, please fill out and submit the short form below.
Enter your vital information beginning with the name of the insured on your policy, your policy number, and your e-mail address, which will be used for your username.

If you need assistance, please contact Kristina Edinger at DAC via e-mail or telephone at 1.800.444.3584

Create a new account

Insured First Name

Insured Middle Name

Insured Last Name

Policy number

E-Mail Address

Address Line 1

Address Line 2

City

State

Zip Code

Password

Confirm Password