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Consumers
Consumer Assistance
Home and Auto Rate Comparisons
Insurance Basics
GetReady
Information for Seniors
External Review Process
Public Rate & Form Filings
Workers' Compensation
Health Care Reform Resources
Licensing and Education
Anti-Fraud Unit
Regulated Entities
Bail Bonds
Financial
Regulated Industry Services
Surplus Lines
Premium Tax Forms
Certified Reinsurers
Insurers
Rate and Form Filing
Real Estate Appraiser Board (REAB)
Insurance Business Transfers
Public Information
About OID
News
Divisions and Programs
Legislation
Legal
Employment/Internships
Events
Interlocals
School Resources
State of Oklahoma Insurance Verification System
Home
/ Search Results
Outstanding Insurance Professional Nomination Form
Insurance Commissioner John D. Doak and the Oklahoma Insurance Department honors the state’s industry via an award presented to an Oklahoma insurance professional on a monthly basis. To nominate an industry professional, please complete the following form below.
*
Indicates Required Field
Information About the Nominee:
*
First Name:
*
Last Name:
*
City of Residence:
*
Company:
*
Title or Position:
*
What meritorious service to the Industry, Community and/or Policyholders has this individual achieved?:
Information About the Nominator:
First Name
Last Name:
*
Please check the following preferred contact methods if we need to obtain more information about this nomination:
Daytime Phone
Cell Phone
Email Address
Daytime Phone:
(no dashes e.g. 5554443333)
Cell Phone:
(no dashes e.g. 5554443333)
Email Address:
Please use this box to further comment on your nominee:
Thank you for your nominiation. Should your nominee be selected, we will be in contact with you through your preferred method.
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