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Contracting has never been easier.
One simple "Universal" form for all of our carriers!

Returning Users: Login and follow the Link to Surance Bay/SureLC in My Legacy Portal.
First time Users: Follow the directions below to submit your contracting.

Want to Complete your Universal Contract online? Submit your request here

To Download a Fillable paper contract
[click] the image below...

Once completed send your contract back to us
using the "Secure Document Upload" located
in the top right corner ...


**For any yes answers, be sure to include any letters of explanation and supporting documentation, letters of discharge, etc.
This information is necessary to complete your contracting.


Our Location

Legacy Secure of MI Inc 41000 Woodward Ave
East Bldg Ste 350
Bloomfield Hills, MI 48304
USA 1-888-478-9888

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