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Want to become one of our Agents?
Here's how in 4 easy steps.

STEP 1

Download

STEP 2

Fill Out

• Agency Agreement

• Agency Information Sheet

• W-9 Form

STEP 3

Submit

• Agency Agreement

• Agency Information Sheet

• W-9 Form

• Copy of E & O 
  Declarations Page

• Copy of Agents 2-20 License

STEP 4

Send

Email

• Fax: 954-827-2666

• Mail to our address:

Atlantic Mutual Legal Defense Insurance Company, Inc.
7351 Wiles Road
Suite 203
Coral Springs, FL 33067

If you have any questions, please feel free to call us at:
Toll Free: 888-888-3270, Choose Option 2
Direct: 954-546-0500, Choose Option 2