Agencies in Need of Disaster Assistance

How can IIANC help you?

IIANC wants to support our member agents who need assistance in the aftermath of the impact of hurricanes and other natural disasters.

Please let us know how we can assist you by completing the questionnaire below. We will do our best to connect your agency in need with those NC agents who have volunteered to help you.

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* 1. We need help in the following ways (please check all that apply.)

Our agency needs help locating office space to conduct business

We need additional employees to help process claims

Our employees have been displaced due to personal damage, and need financial assistance for uninsured expenses

Other (please specify)

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* 2. Name:

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* 3. Agency:

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* 4. Your City:

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* 5. Agency Phone Number:

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* 6. Cell Phone Number:

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* 7. Email Address:

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* 8. Preferred method of contact

Phone (cell phone listed above)

Phone (agency phone listed above)

Other (please specify)

Agencies in Need of Disaster Assistance

How can IIANC help you?

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* 1. We need help in the following ways (please check all that apply.)

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* 2. Name:

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* 3. Agency:

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* 4. Your City:

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* 5. Agency Phone Number:

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* 6. Cell Phone Number:

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* 7. Email Address:

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* 8. Preferred method of contact

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* 9. What Agency Management System does your agency use?

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* 10. What companies does your agency represent?

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* 11. Other information to share: