Get Application For Agent Appointment

Filling out the Application for Agent Appointment online is a crucial step in becoming an authorized agent. This guide will provide you with clear, step-by-step instructions to ensure that you complete the form accurately and efficiently.

Follow the steps to successfully complete your application online.

1. Click the ‘Get Form’ button to obtain the form and open it in the online editor, where you can begin filling it out.
2. In the first section, enter your agent name. Make sure to print or type your name clearly, including your first, middle, and last names.
3. Next, provide your resident and business addresses. Fill in your street, city, county, state, and zip code accurately. Ensure that the county is included.
4. Indicate whether commissions are assigned by selecting 'Yes' or 'No.' If you select 'Yes,' complete the corresponding fields on the back of the form which will include additional corporate questions.
5. Fill in your resident phone number and business phone number, ensuring that they are current and correctly formatted.
6. Enter your license number and attach a photocopy as required. This provides necessary verification of your licensing.
7. Provide your date of birth, ensuring it is in the correct format (MM/DD/YYYY).
8. Select your gender by checking the appropriate box. Answer additional questions regarding your licensing, E&O carrier, and whether you are currently licensed in specific states.
9. Answer all the required questions regarding your history and background honestly. If any answers are 'Yes,' detail these on a separate sheet and attach it to your application.
10. Sign and date the application to certify that your answers are true and accurate. This is a crucial step as it confirms your understanding of the obligations associated with the application.
11. Once you have completed all sections of the form, review your responses for accuracy. After ensuring everything is correct, you can save changes, download the completed form, print it, or share it as needed.

Complete your APPLICATION FOR AGENT APPOINTMENT online today to take the next step in your career as an agent.