Become An Atlas Agent

Agency Profile Form

FEIN or SS#: Incorrect Format. FEIN Format: xx-xxxxxxx. SS Format: xxx-xx-xxxx

Entity type not selected

Phone: Acceptable Format - xxx-xxx-xxxx

Email Address:

Top 4 Residential Property Carriers:

Are any of these markets accessed through an MGA contract?
Yes No
Why are you seeking an appointment with our company?

What factors influence where you place your residential property business?

What is your primary focus when selling a residential property policy?

How would our market fit in with the other markets you represent?

Which residential property product forms are you most familiar with? (e.g. HOB, TDP-3, ISO-3)

What marketing plans do you have in place to grow your residential property business? Must check at least 3 sources.

Use lead generation program

Use telemarketer

Agency website quoting capability

Relationship with mortgage loan officer, real estate broker or title company

Direct mail campaign

Have effective cross-sell program

Media advertising

Book roll

Have dedicated personal lines producers

Other - please describe

What production commitment can you make to Atlas General Agency?

In addition to the application, we will require evidence of current Errors & Omission insurance with a minimum $1,000,000 limit.