Company Information





















Delegated* (submit data only, lender underwrites MI)
Non-Delegated (submit full file for MGIC to underwrite for MI)

*Note: A Master Policy application for delegated also allows for non-delegated MI applications.

Organization Principal(s) or Head of Mortgage Department














Add an Organizational Principal














Add an Organizational Principal














Add an Organizational Principal














Add an Organizational Principal














Business Information

Yes
No

Yes
No







Yes
No

Yes
No
Investor Relationships

Yes
No



Yes
No


Company License Numbers








Operational Information

MGIC is required to verify the operational capabilities of customers as outlined in the Private Mortgage Insurer Eligibility Requirements (PMIERs) issued by the GSEs.


Yes
No

Yes
No








Please provide details for your Head of Underwriting/Credit Manager:













Please provide details about your outsourcing provider:










Which automated underwriting (AU) system(s) does your company use?

 DU
 LPA
 Other
 We don't use AU


Contact with MGIC Account Manager

Yes
No
Comments (optional)
Authorized Submitting Representative

The authorized submitter certifies that he/she has been duly authorized to submit this application on behalf of the lender.









I have applied for an MGIC Master Policy, providing company information pertaining to location, principals, institution type, and key contact information. I certify that all of the information is true and complete.

To the best of my ability, I have made no misrepresentation on the application, nor did I omit any pertinent information.

I understand and agree that MGIC reserves the right to verify with my company the information provided on the application.

By submitting this application, I agree to these terms.


Master Policy Contact

If additional information is needed for this application or for any future Master Policy questions/communications, contact will be made to this individual.

 Same as Authorized Submitting Representative








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