January 19, 2018
Halcyon Underwriters
How to Become an Agent PartnerMiscellaneous - how to become an agent partner

Thank you for your interest in becoming an agent partner with Halcyon Underwriters.
To apply for an appointment, please complete the below items and return to marketing@halcyonuw.com.

Once all of the required documents have been received, your agency's application will be reviewed and you will be notified via email if you are appointed and active. We appreciate your interest and look forward to working together in the near future.

Should you have any questions about our appointment process, please contact Jason Mata at
321-527-2180 or via marketing@halcyonuw.com.  

   Agency Application 

– Open Document to Print and Fill Out our Two-Page Application

   Agency Agreement 

– Open Document to Print and Complete

   Copy of Agency's E&O – Dec. Page or Certificate

   Copy of Agent's License

   Copy of Agency License

   Copy of Agency's W-9 Form – Open Document for a W-9

   ACH Form – Open Document for ACH Form