---
title: JAR Insurance Services | Community Health Initiative of Kern County
---

![CHI+Logo](https://www.jaragent.com/hs-fs/hubfs/CHI+Logo.png?width=400&height=131&name=CHI+Logo.png "CHI+Logo")

# Complete the form below for all referrals for this project

I agree to have a licensed insurance agent from JAR Insurance Services  
contact me and understand that I can opt-out at any time. 

Additionally, I have read the [Privacy Policy](http://www.jarinsuranceservices.com/privacy-policy/) and [Terms and Conditions of Use](http://www.jarinsuranceservices.com/terms-of-use/).  
For accommodation of persons with special needs at meetings call 877-391-9988 (TTY 711). 

##### We'll be the only one to call you. We do not share or sell your information with anyone. 

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