All producers must register in order to do any business with NYPIUA.
To register with NYPIUA, submit the following. Please allow 5-7 days for processing.
- Producer Registration Form
- A copy of your New York State Producer License
- Completed W-9, which can be found at Home | Internal Revenue Service
- A copy of a voided check for ACH direct deposits
Please submit the above by:
- emailing to firstname.lastname@example.org
- mailing to NYPIUA 155 Myers Corners Road, Wappingers Falls, NY 12590-3857
For any questions, please contact NYPIUA at email@example.com or (212) 208-9700.