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
• Fax: 954-827-2666
• Mail to our address:
Atlantic Mutual Legal Defense Insurance Company, Inc.
7351 Wiles Road
Suite 203
Coral Springs, FL 33067