Thank you for submitting your Qualification Form! In the next few seconds, you’ll be receiving 3 forms in the email you provided:

  • Vendor Authorization Agreement for Electronic Funds Transfer
  • Confidentiality | Non-Compete Agreement | Non-Solicitation
  • Master Service Agreement

To continue moving through our process, please sign these forms. Once signed, a copy will be sent to your email and we’ll receive your form automatically. We will also need you to forward a COI sent directly from your insurance company naming the following as cert holder and additional insured:

Mid America Speciality Services
P.O. Box 860
Ozark, MO  65653

Thank you for your interest and if you have any questions, please email us at

Mid America Speciality Services logo