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In order to process your request to set up your account for the Allstate Extranet Customer Information System (AXCiS) website, please complete the form below. Your details will be forwarded to Lender Relations for processing.


User Information

All fields are mandatory unless otherwise noted.

Please enter your user information in the following fields.

If you are already registered in old website, please enter your user ID below and click Search to retrieve your details from our systems.
Existing User:

If you are registering for the first time and do not have an ID, please fill in your and your company information below.
First Name: Last Name:
User ID: Email Address:
Work Phone Number: Password:   help
  1. Password should be 8 - 128 characters.
  2. At least one number (0-9)
  3. Password must include 2 of the following
    1. At least one lowercase letter (a-z).
    2. At least one uppercase letter (A-Z).
    3. At least one special character (@,!,#).
  4. Spaces and < > are not allowed.

 
Select your Security Question & Answer for verification purposes.

1.
Answer



2.
Answer

Company Information

All fields are mandatory unless otherwise noted.

Please provide all address information for your company and indicate your preferred contact address for insurance notifications.

Company Name:
Tax Identification Number (TIN):
Company Address 1:
(Preferred mailing address)
Company Address 2:
(Optional)
Add an Additional Company Address

Company Administrator’s Information

You will need to provide your Company Administrator’s contact Information.


Contact First Name: Contact Last Name:
At least one of the below 2 fields must be answered.
Contact Phone Number:
Contact Email Address:
Contact Address:(Optional)

Tracking

All fields are mandatory unless otherwise noted. Does your company track for auto, mortgage or both types of loans?

               


Add an Additional Tracker

Confidentiality
A Non-Disclosure Agreement will be sent to your company at the preferred email address provided. This will need to be signed and returned to Lender Relations.






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