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  • strict warning: Non-static method view::load() should not be called statically in /homepages/35/d258519164/htdocs/www/sites/all/modules/views/views.module on line 879.
  • strict warning: Declaration of views_handler_field_user::init() should be compatible with views_handler_field::init(&$view, $options) in /homepages/35/d258519164/htdocs/www/sites/all/modules/views/modules/user/views_handler_field_user.inc on line 48.
  • strict warning: Declaration of views_handler_filter::options_validate() should be compatible with views_handler::options_validate($form, &$form_state) in /homepages/35/d258519164/htdocs/www/sites/all/modules/views/handlers/views_handler_filter.inc on line 589.
  • strict warning: Declaration of views_handler_filter::options_submit() should be compatible with views_handler::options_submit($form, &$form_state) in /homepages/35/d258519164/htdocs/www/sites/all/modules/views/handlers/views_handler_filter.inc on line 589.
  • strict warning: Non-static method view::load() should not be called statically in /homepages/35/d258519164/htdocs/www/sites/all/modules/views/views.module on line 879.
  • strict warning: Declaration of views_handler_filter_user_name::value_submit() should be compatible with views_handler_filter_in_operator::value_submit($form, &$form_state) in /homepages/35/d258519164/htdocs/www/sites/all/modules/views/modules/user/views_handler_filter_user_name.inc on line 144.
  • strict warning: Declaration of views_handler_filter_user_name::value_validate() should be compatible with views_handler_filter::value_validate($form, &$form_state) in /homepages/35/d258519164/htdocs/www/sites/all/modules/views/modules/user/views_handler_filter_user_name.inc on line 144.

For more information before completing this form you can contact Bob Keavney @ (303) 799-8112 or bkeavney@tagins.net.

Thank you for your interest in becoming a TAG agent.

Has any producer or your business had any suits or judgements against them during the previous 5 years?

Are there any producers under investigation or subject to administrative review now or in the previous 3 years?

Have any producer or company contracts been cancelled in the previous 3 years?

Have any producers in your office ever been convicted of a felony?

Has your business, or any principles or owners ever been subjected to a fine or other disciplinary action from the DOI or other regulatory agencies?

Years of experience, training completed, etc.

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