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 online and printed)
- Producer Agreement
- Completed W-9 form
- Copy of your agency’s home state license
- Copy of your agency’s E&O declaration page
Please contact us or click the U.S. Risk Connect link below to complete the application online. It takes about three business days for paperwork to be reviewed and processed. If approved, a copy of the executed agreement will be returned to you for your permanent records.
For assistance, please contact Kelly Hauck at (800) 232-5830 or email firstname.lastname@example.org. We look forward to working with you!
PRODUCER REGISTRATION APPLICATION
In order to complete the producer registration process online, click 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.