U.S. Risk
Marketing Department
10210 N. Central Expressway
Suite 500
Dallas, Texas 75231
Phone: (800) 232-5830
Fax: (214) 265-4976
Email: producer@usrisk.com

________________________________________________________

Thank you for your interest in U. S. Risk. In order to be considered for an appointment with us, we will need the following documents completed and sent to us:

 Producer Profile  (can be filled out on-line and then printed) – see below
 Producer  Agreement – see below
 Completed W9  form – see below
 Copy of your  agency's home state license
 Copy of your  agency's E&O declaration page

Please either fax, mail or email these completed documents to us (noted above).

It takes approximately 3 business days for received paperwork to be reviewed and processed. 

If approved, a copy of the executed Agreement will be returned to you for your permanent records.

For more information, please contact us at 1-800-232-5830.  We look forward to working with you!

___________________________________________________________

Paperwork Downloads


Adobe Acrobat Format: Producer Profile, Agreement and W-9
(This document can be completed online)