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Get Appointed with InsureLab

We love working with brokers who serve nonprofits and small businesses.


This form takes under 2 minutes.


Right after, you can book a quick onboarding call and start submitting for quotes immediately.

First Name

Last Name

Agency Name

Email Address

Phone Number

Tell us where you’re licensed and your agency address so we can get your account set up properly and support your placements.

State(s) Licensed*

Business Address

City

State

Postal Code

Upload W-9 (optional for now)

We’ll need this before binding & commissions.

Upload E&O Certificate (optional)

Required before binding.

Please book a quick onboarding call so we can validate your documents, confirm your access and start binding. 

We’d love to learn more about your agency and help you win more accounts.