There are two ways to get appointed by Empire Underwriters:

  1. Complete the Brokerage Agreement completely online
  2. Fill out the forms, then submit them by email or in the form provided

OPTION #1

SUBMIT BROKERAGE AGREEMENT ONLINE

The Fastest Way to Get Your Commissions

OPTION #2

FILL OUT FORMS AND SUBMIT

May Delay Your Commissions

1.) Download The Required Forms:
2.) Provide the following documents:
  • Broker Application
  • Broker Agreement
  • W-9
  • License and E & O
  • Broker Bond for CA
3.) Provide the following documents:

Please submit documents on the next page. Contact your
Empire representative with any questions.