Mike Lipes

Pacific Agency Insurance

   

 

 

       
nnnnQuick
nnnnnnnn Launch
Home
About us
Companies Represented
Customer Service
Products
Get a Quote
Helpful Links

 

Mike Lipes

Pacific Agency

Insurance

(972) 250-9984

 

 

 


 

Workers Compensation Insurance

Name 

(required)

E-mail 

(required)

Telephone  (required)
Business Name
Business Address
Business City
Business State
Business Zip

 

Class Code Payroll Current Rate # of Employees
Current Insurer
Expiration Date
Experience Modification
Fein/Tax ID

Please enter additional notes below:

 

  mail login legal powered by mlhi.net