MEMIC Partners for Workplace Safety Partners for Workplace Safety
©2004 - MEMIC All rights reserved
MEMIC Partners for Workplace Safety
MEMIC Partners for Workplace Safety
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MEMIC Partners for Workplace Safety
 MEMIC Partners for Workplace Safety
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Registration for E-Document

MEMIC's E-Document will deliver and store Agency Reports and Policy Documents. You have the option to choose your delivery preference. Policy documents can be delivered to your in-box as an attachment each day or you can simply go to the MEMIC archive to retrieve your documents as needed. Please complete the required information below. Identify which policy documents you should have access to and which documents you prefer to receive in the form of an attachment.

Example# 1: You should receive all policy declaration pages in the form of an email. Please check the policy "Declaration Page" box and the "email with attachment" box.

Declaration Page: Email with Attachment

Example# 2: If you should have access to all policy declarations pages but do not want to receive an attachment simply check "Declaration Page" box and do NOT check the "email with attachment" box.

Declaration Page: Email with Attachment

You can choose any combination of policy documents. All or one or two selected documents.

For Frequently Asked Questions, click here

*indicates a required field
* Agency Name:
 
* Agency Code:
 
* First Name:
 
* Last Name:
 
* Title:
 
* Phone:
 
* Email:
 

Document and Delivery Options

Declaration Page: Email with Attachment
 
Cancel Notices(Pending Cancels): Email with Attachment
 
Cancel Memos(Final Cancels): Email with Attachment
 
Reinstatements: Email with Attachment
 
Audit Invoices: Email with Attachment
 
Renewal Questionnaires: Email with Attachment
 
Commission Statements: Email with Attachment
 
New Claims: Email with Attachment
 
Profit Sharing Reports: Email with Attachment
 
Reserve Changes: Email with Attachment