Validation Information
First Name: First Name is required.
Last Name: Last Name is required.
Policy Number: Policy Number is required and must be at least 5 digits
Zip Code: Zip code is required.
Email Address: Email address is required and must be valid
Confirm Email Address: Confirmed email address does not match
Confirm Password: Confirmed password does not match
  Passwords must contain the following:
Upper Case (A-Z)
Lower Case (a-z)
Number (0-9)
Special Character (e.g. !@#$%^&*)
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