New Agency Appointment Application
Below are links to the forms we need completed in order for Hull & Company to review a new agency appointment application. Please return all completed, signed and witnessed forms to the attention of Dina Day at dday@hullco.com or fax a copy to 215.443.3502.
- Download Producer Agreement
- Download Producer Application
- Download Completed W-9 Tax Form
- A Copy of your agency’s resident P&C license. We would also need copies of any nonresident P&C licenses for any other states that you may wish to write with us.
- A Copy of the agency's Errors & Omissions (E&O) declarations page or Certificate of Insurance ($1MM/$1MM minimum)
Hull & Company, LLC / Northeast
Email to ProducerMaintenanceRegion3@Bridge-grp.com
Fax to 215.443.3502, Attn: Dina Day
Mail to:
Hull & Company, LLC / Northeast
Attn: Dina Day
220 Gibraltar Road, Suite 100
Horsham, PA 19044
Thank you for your interest in Hull & Company. We look forward to servicing the needs of your agency.
