Welcome New Allstate Agents!!
In order to place business with us we will require a brokerage agreement along with a copy of your current brokers license and errors & omissions declarations page.
Click here to obtain a copy of our brokerage agreement.
After you have completed and signed the agreement you can return it to us along with a copy of your license, e&o declaration and W-9 via fax or e-mail to:
After we receive the required information your account will be activated.
Once approved, you will receive in approximately 7 days a countersigned copy of the contract along with an introduction letter. If you have any questions or if you need assistance in any way, please call Rich Verdi at (631) 465-9757.
New Business Submission
In order to provide you with a quotation we must receive an application which will provide the information necessary for us to properly underwrite your account.
Please provide us with as much information as you can which will help us respond to you more quickly.
You can manually send us an application via e-mail or fax, or you can complete an on-line submission in our program. Any form of an insurance application is acceptable, but Acord applications are preferred and accepted by most of our insurance companies. Click on the Forms & Docs link and you will be able to find most common applications for your use. In some cases an additional supplement will be required. Your underwriter will let you know if this is required.
All new submissions for commercial lines should be sent to us via e-mail to – firstname.lastname@example.org Or via fax to – (516)977-2517
Do not hesitate to call us for assistance.
We Put The Pieces Together