Agent Appointment

Apply to become a Stillwater appointed agent

Agent Appointment

Interested in becoming a Stillwater appointed agent? Fill out the application below. We will respond to your request promptly.

Do you have a current Stillwater appointment?

Do you have a prior Stillwater or Fidelity appointment?

What products are you in the market for?
Home
Auto
Umbrella
BOP
Condo
Renters
Scheduled Personal Property
Earthquake
Landlord/Dwelling Fire

If applicable, your affiliated group:

Agency Name

Number of locations

Number of employees

State(s) you are licensed to write business in:

How long have you been an agent? (Approximate number of years)

How long has your agency been established? (Approximate number of years)


Next Page >>