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 Jennifer Dumag at [email protected] or fax a copy to (949) 477-5040.
- Download Signed and dated Producer Agreement
- Download Producer Application
- 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)
Jennifer Dumag
Email to [email protected]
Fax to (949) 477-5040, Attn: Jennifer Dumag
Mail to:
Hull & Company, LLC / Irvine
18301 Von Karman Ave. Suite 920
Irvine, CA 92612
Thank you for your interest in Hull & Company. We look forward to servicing the needs of your agency.
Thank you,
Jennifer Dumag
Profit Center Leader
Regional Sr. Vice President, Director of Binding West Region
