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Am Fidelity Appt
FAQ

Agent Signup Application

Download Application

The following items must be completed and attached to your application 

  • Agency Information Form 
  • Completed and Signed Contracts (two originals)
  • W-9 Form
  • Copy of current Local Recording License (Property & Casualty)
  • Zerox copy of Drivers License (Carrier mandated)
  • Copy of E&O Policy (minimum coverage $1,000,000)
  • E-Mail Address Addendum
  • PayExpress Authorization Form (Optional)
  • American Fidelity Application (TX Only / Optional)

Please send the documents to:  

newagent@combinedgroup.com

or

Fax to:  800-275-3194  Attn:  New Agent Appointment