Agent Contracting AFLAC TBC - AFLAC contracting request TBC Agent - AFLAC contracting request Once completed you will receive an email asking you to begin the contracting process. The sending email will be, producerexpress@sircon.com. Also, the subject line will be 'Contracting Information for Aflac' Name * Name First First Last Last Phone * Email * Address * Address Address Address City City State/Province AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State/Province Zip/Postal Zip/Postal Captcha Submit If you are human, leave this field blank.