In order to write new business or to receive a new quotation within UBIC - Get Comp!, please complete the new agent agreement.
Please complete the following forms (click to download):
- Agency Agreement
- Brokerage Agreement
- Agency Profile
- W-9 Form
- Copy of your E & O Coverage
Please contact Blair Zavodny at 678-766-8242 ext. 210, or email firstname.lastname@example.org for more information.
Thank you, we look forward to working with you and your agency!