New Agents

Prospective RPIG Agents

Thank you for your interest in an appointment with RPIG.

We want to work with you…

We are currently appointing agents that meet these guidelines:

  • Writes 500,000 total agency premium annually.
  • Writes 50% commercial business.
  • Works with a minimum of one standard market.
  • Minimum of 2 years agency experience*

 

To start working with RPIG, please provide the following

Producer Survey

Producer Survey

New Agent’s Name
New Agent’s Name
First
Last
Address
Address
City
State/Province
Zip/Postal
Has any company or GA cancelled your agency contract within the last three years?

Agency Standard Gross Written Premium

Agency Surplus Gross Written Premium

Please list your agency staff members:

license Info

Please attach individual and agency TDI licenses

Maximum file size: 67.11MB

Proof of E&O Coverage

Maximum file size: 67.11MB

Completed W9

Maximum file size: 67.11MB