Apply to Become a Broker


Create an Account

Email Address:
Agency Name:
Agency Branch Name:

Agency Registration Directions

Items you will need in order to complete the appointment registration process:

  • 1. Name and contact information for the agency manager/principal.
  • 2. Firm information, including tax ID, primary address, year established, and officers and list of principals.
  • 3. Copy of your current Errors and Omissions policy
  • 4. Completed W-9 form (copy of a W9 form found at registration homepage)
  • 5. Copy of your Property and Casualty state licenses
  • 6. Copy of your entity license

Once the information is submitted online, we will review the appointment request and advise on approval, responding to the email address provided during registration.

Once approval is received, you can set up any additional agents within your agency that need access to the Broker Portal.