New Agency Appointment Application
.Below are links to the forms we need completed in order for Hull & Company to review a new agency appointment application. Please return all completed, signed and witnessed forms to the attention of Jennifer Dumag at [email protected] or fax a copy to (866) 217-1815.
- Download Signed and dated Producer Agreement
- Download Producer Application
- Download Completed W-9 Tax Form
- A Copy of your agency’s resident P&C license. We would also need copies of any nonresident P&C licenses for any other states that you may wish to write with us.
- A Copy of the agency's Errors & Omissions (E&O) declarations page or Certificate of Insurance ($1MM/$1MM minimum)
Jennifer Dumag
Email to [email protected]
Fax to (866) 217-1815, Attn: Jennifer Dumag
Mail to:
Hull & Company
3247 West March Lane, Suite 110
Stockton CA 95219
Thank you for your interest in Hull & Company. We look forward to servicing the needs of your agency.
Thank you,
Jennifer Dumag
Vice President, Profit Center Leader
