YHI Agent Line Account Request Order Number Agent / Broker Contact Information Full Name * Agency * Phone Number Used For HIX Access (Duo) * HIX Email Address * Access Code Preference (Select One) * Phone Call Text Please select which "Rating Areas" you would like to receive calls from: Rating Areas * North Idaho (N) North Central Idaho (NC) Southwest Idaho (SW) Northeast Idaho (NE) South Central Idaho (SC) Southeast Idaho (SE) Spanish Speaking Your IP Address: 3.148.192.125, 172.68.168.245
