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 contact us or follow the link below to U.S. Risk Connect to complete the application online. 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 Kelly Kennedy at 1-800-232-5830 or email  We look forward to working with you!

Producer Registration Application – In order to complete the producer registration process online go to the U.S. Risk Connect link below and create a login. You will be asked to create an account and complete the application process. You will also be able to upload the required documents online.