Commission Password Request
 
 
Agents can view commission statements online via Mendota's website (http://www.mendota-insurance.com).
 
You will be able to access your statements by selecting "My Account" from the agent home page. The option is called "Commissions Statement".
 
For access, please complete this form and return it to Mendota Insurance Company.
 
  A few items to consider when selecting your password:
 
 
  • Your password is case sensitive. Be sure to print the password below, with any characters or numbers, EXACTLY as you want it to appear (Preferably without spaces).
     
  • For your own security, choose a different password than your initial sign-on.
     
      Please send the completed form to:
      Mendota Insurance Company
      Attn: Finance
      3343 Perimeter Hill Dr., Suite 214
      Nashville, TN 37211
      (or fax form to 952-656-9860)
     
     
    Agent Name: ____________________________________________
     
     
    Agent Number: ___ ___ ___   ___ ___   ___ ___ ___ ___
     
     
    Password: ________________________________
     
     
    Agent Phone Number: ________________________________
     
     
    _________________________________________ ____________________
    (Signature of Principal) Date
     
     
    Access to the Commission Statement on-line will be available 24 hours after the completed form has been received in our office.