New Agency Appointment Application.
Below are links to the forms we need completed in order for Hull & Company to review a new agency appointment application. Please return all completed, signed and witnessed forms to the attention of Jenny Crane at [email protected] or fax a copy to 800.242.3742.
- Download Signed and dated Producer Agreement
- Download Producer Application
- Download Completed W-9 Tax Form
- A Copy of your agency’s resident P&C license. We would also need copies of any nonresident P&C licenses for any other states that you may wish to write with us.
- A Copy of the agency's Errors & Omissions (E&O) declarations page or Certificate of Insurance ($1MM/$1MM minimum)
Email to [email protected]
Fax to 800.242.3742, Attn: Jenny Crane
Hull & Company, LLC / Northwest
Attn: Jenny Crane
10220 SW Greenburg Rd., Suite 600
Portland, OR 97223
Thank you for your interest in Hull & Company. We look forward to servicing the needs of your agency.
Sr. Vice President