Call Us 800.982.1895 ☰ ˟
Call Us 800.982.1895
Agent Login
  • Home
  • Quote Online
  • Resources
    • Submit A Risk
    • Find An Application
    • Become An Agency Partner
    • Make A Payment
  • About Us
    • About Us
    • Locations
    • Privacy Policy
  • Contact

Submit A Risk

Property & Casualty, Professional
Transportation Programs
Workers’ Compensation
Personal Lines

Submission requirements will vary by class of business and coverage requested:

ACORD Forms – Minimally needed to start the process

3-5 years Currently Valued Loss Runs

Submit A risk Now
Find an Application

Submission requirements will vary by class of business and coverage requested:

ACORD Forms – Minimally needed to start the process

Supplemental Application or provide current carrier’s application – Find an Application >

3-5 years Currently Valued Loss Runs

Your request will be submitted to the appropriate Program specialist.

Transportation Submissions
Find an Application
Workers Comp Submissions
Find an Application
Personal Lines Submissions
Find an Application
Contact Us
Quick Links
Home Our Products Payment Options About Us Contact Us
Corporate Headquarters
Corporate Address
217 E. Hallandale Beach Blvd
Hallandale Beach, FL 33009

P: 800.982.1895



Social Icon Social Icon Social Icon


© Copyright. All rights reserved.
Powered by Insurance Website Builder

Regency Insurance Brokerage Service Facebook Regency Insurance Brokerage Service Twitter Page Regency Insurance Brokerage Service Linkedin Page