Please complete the following form and we will begin the process of setting up an account for your agency. What’s more, we’ll send you updates on new products, business-building tips, and industry developments.
We’d like to hear from you in person, if you prefer. Feel free to contact one of our offices below. We look forward to sharing our vision on how we can help you write more business and increase your profits.
Address:
498 South Lake Destiny Road, Suite 200
Orlando, Florida, 32810
Toll-Free: 877-653-IPOA (4762)
Local: 407-260-8200
Fax: 321-281-4475
Contact Name: Stefan Burkey - sburkey@ipoausa.com
New Agency Requirements
- Minimum of 3 years in business
- Minimum of $1,000,000 in current premium volume
- Minimum of $1,000,000 in errors & omissions coverage
- Minimum of 2 standard markets
The Following Forms Need to be Completed in Addition to the Agency Questionnaire Below
- Signed Brokerage agreement
- IRS W-9
- Copy of your agency license
- Copy of your E&O declarations page
