In order to write new business or to receive a new quotation within United Business Partner's programs, please complete the brokerage agreement and information sheet.
Agency Contract Checklist
- Agency Agreement
- Brokerage Agreement
- Agency Profile
- Copy of E & Coverage
- Copy of W-9 Form
Please contact Matt Harpin at 678-766-8242 ext. 203, or email email@example.com for more information.
Thank you, we look foward to working with you and your agency!