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This form is specifically for managers who are interested in enhancing their scope of work by incorporating an additional state into their territory. Your cooperation in filling out the form accurately is greatly appreciated, as it ensures a thorough and seamless process for the expansion of your managerial responsibilities. Please provide all the necessary information to facilitate the efficient consideration and implementation of the requested changes to your territory.

Manager's Name

Number of Agents

Please input the numerical value corresponding to the current size of your team.

New Area Name

Kindly consult the accompanying table to identify the states that are deemed acceptable for inclusion in your territory.
Please specify the additional state or states you wish to include in your territory. If there is more than one, kindly separate them with a comma.