Our e-contracting Master Agent Questionnaire is designed to collect all the important background data necessary for you to contract with multiple carriers simultaneously and quickly. When you enter your information in this form and click submit, it is sent to our marketing and processing department where we can complete your contracting package. This service provided to you helps expedite your contracting process and your contract will be directly with the insurance carriers that you choose to be contracted with. This questionnaire is for informational purposes, and any contracting decisions of approval and denial are SOLEY at the discretion of your selected carrier(s).
Please call our Marketing Staff at 1-800-662-5080 and we will email you the link.