READY. SET. PAPERWORK.

We’re going to need the necessary paperwork on you and your agency before we can approve your request for appointment. It’s rather quick, easy, and online for your convenience and you can even start now and come back to it if you get interrupted.

Things you’ll need to gather/provide:

All New Agencies
– FEIN (Tax ID) Number of Agency
Copy of the Agency License
– E&O Coverage: (dec page or certificate of insurance)

All Agents
– Your W9

Things to electronically sign:


Our Producer Agreement (View Sample Agreement)

If you have an urgent submission within the next week, please send the details of the risk to answers@breckgrp.com while you continue with this appointment application.