Partner with Us as an Appointed Producer

Thank you for your interest in U.S. Risk. In order to be considered for an appointment with us as a producer, we will need the following documents completed and sent to us:

• Producer Agreement
• Completed W-9 form
• ACH Payments Authorization Agreement
• Copy of your agency’s home state license
• Copy of your agency’s E&O declaration page

Please click the U.S. Risk Connect link below to complete the application online. It takes about three business days for paperwork to be reviewed and processed. If approved, a copy of the executed agreement will be returned to you for your permanent records.

For assistance, please contact Kelly Hauck at (800) 232-5830 or email kelly.hauck@usrisk.com. We look forward to working with you!

Producer Registration Application

In order to complete the producer registration process online, click the U.S. Risk Connect link below and create a login. You will be asked to create an account and complete the application process. You will also be able to upload the required documents online.

▶ Producer Registration — U.S. Risk Connect

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