System Generated Panel?

?Author Input Panel

Author Input Panel - Required fields

File Upload Messages Configuration

Form Title? Panel

Things to know before you begin

  • Customer Letter must list all coverages affected.
  • Effective dates are typically the 1st of the month following MetLife’s receipt of the request.
  • Commission agreements may be required and will be sent to you for completion.
  • Commission split details should be noted in the comment section below (n/a for P&C)

User Input Panel

*Required fields


    Selected Coverage(s) Affected


    Customer Information


    New Writing Producer

    Writing Producer Address:


    Payee?(Please enter the Writing Producer’s Agency information. If Writing Producer is Payee, then check box below)

    Payment Address


    Broker Contact Info

    Broker Business/Correspondence Address


    MetLife Team


    For questions or clarification, call the Sale Compensation & Business Initiatives Broker Change Team at 866-796-1800 Prompt 2.

    Thank You/Error Panel Configuration

    Settings for same page thank you/error message

    Error

    An error has occurred. Please try again later.

    Thank you

    Your request has been sent.

    Settings for separate page thank you/error message

    Hidden Panel

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