Assurant® Dealer Services

FORMS

FORM LINKS

MasterTech

Product Remittance Register – PDF
Product Remittance Register – XLS
MasterTech Remittance Register
MasterTech Remittance Schedule/Deadlines
MasterTech Payment Plan Remittance Register
MasterTech Online User Access Authorization
Cancellation Request Form

Credit Insurance

Accident & Health Claim Form – ANICO
CL, A&H Remittance form – ANICO
Life Claim Form – ANICO
Remittance Form – CSO

Order Supplies

©2023 Assurant® Dealer Services
1790 Hughes Landing Boulevard, Suite 700
The Woodlands, Texas 77380
800.967.3633
Fax: 832.813.0538

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