Society of Professional Benefit Administrators

Two Wisconsin Circle, Suite 670, Chevy Chase, MD 20815-7003
Phone: (301) 718-7722 Fax: (301) 718-9440

State Licensing Questionnaire

The State Licensing Questionnaire is now available in an easy-to-use, fillable Microsoft Word file. Simply download the file, open it, and fill in the blanks on the form. When you're done, either save the file and attach it to an e-mail to Elizabeth Leight at elizabeth@spbatpa.com or print it out and mail it to:

Society of Professional Benefit Administrators
2 Wisconsin Circle, Suite 670
Chevy Chase, MD 20815-7003

Or you may FAX it. Our FAX number is: 301-718-9440.

Please have the completed survey to us by March 23, 2007.