Carrier Access Request

Direct Select Advisor Access Request


To Get Appointed with Direct Select Agencies submit the following items:

  Completed agency agreement forms

  Copy of Current E&O Dec Page

  Completed Pre-Authorization Deposit Form and a Copy of a Voided Check

  Signed & Dated Contract Page

  Signed & Completed W-9 form

  Copy of Resident & Non-Resident Agency Licenses

  Copy of Surplus Lines Resident & Non-Resident Agent(s)/Broker(s) License(s) (if applicable)

  Payment for Membership Fee

 


 

Start producing almost immediately after the execution of our agreement and supplying us with the necessary paperwork to set your agency set up in our system.

GET STARTED HERE