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

Not all of the products or services described on this website are available in all geographic areas of the United States.
You may not be eligible for all of the products or services described in this website.