Become an AmTrust Appointed Agent
Increase your revenues by becoming an AmTrust workers' compensation agent.
Our easy to use online quoting system will help you deliver superior coverage to your customers.
Click on a link below for one of our Agency Appointment Applications:
Agency Appointment Application (pdf)
- Open pdf
- Print and complete
- Either fax to 800.487.9654 or scan and send as an attachment to the e-mail address on the application along with the requested information
Agency Appointment Application (Word document)
- Open Word doc
- Tab from one section to the next to complete
- Save document
- Either fax to 800.487.9654 or send as an attachment to the e-mail address on the application along with the requested information
To apply:
Retail Agents – Review, complete and sign the Subproducer Agreement attached with the
application. Upon approval of the application, we will execute the agreement and return a copy to you along
with your username and password for on-line access.
Wholesale Agents – Contact your marketing representative for information regarding an Agreement.
- Attach copies of resident license for the agency and each listed
agent.
- For New York appointments, please provide your PC New York
license.
- Attach copy of Agent's Errors & Omission Insurance declaration
page, showing name of carrier,
coverage dates, limit of liability and deductible. A minimum limit of
$1 million is required.
- Fax or e-mail the completed application packet to AmTrust North America at 800.487.9654
