Application - Halcyon Underwriters

Applicant Information

1 of 8

Instructions:

Incomplete applications will not be processed. This application will be considered active for 180 days. Any applicant wishing to be considered beyond this time period should submit another application.

Full Name

First Middle Last Suffix

Address

Street Address City State ZIP Code

Home Telephone

Daytime Telephone

Email Address

Are you at least 18 years of age?

Yes

Are you prevented from being lawfully employed in this country due to a Visa or immigration status?

Yes

Prior Employment

6 of 8

Please go back 5 years, listing your most recent employer first. Include any gaps in employment and state the reason for no employment during that period.

Employer 1

Employer Name

Address

Phone

Job Title

Supervisor

Employment Dates

Salary / Hourly Wages

Reason for Leaving

Employer 2

Employer Name

Address

Phone

Job Title

Supervisor

Employment Dates

Salary / Hourly Wages

Reason for Leaving

Employer 3

Employer Name

Address

Phone

Job Title

Supervisor

Employment Dates

Salary / Hourly Wages

Reason for Leaving

Employer 4

Employer Name

Address

Phone

Job Title

Supervisor

Employment Dates

Salary / Hourly Wages

Reason for Leaving

Employer 5

Employer Name

Address

Phone

Job Title

Supervisor

Employment Dates

Salary / Hourly Wages

Reason for Leaving

email contact

modal form for careers email link

Target Markets (under $20k premium)

View Carrier Listing

Class of Business (Not all Inclusive)

Artisan/Trade Contractors
Banks / Financial Institutions
Builder’s Risk — Lessors Risk — Building Owners
Country Clubs / Golf Courses
Distributors / Wholesalers
Electrical Contractors
Food Distributors
General Contractors
Heating & A/C Contractors
Hospitals

Landscape/Lawn Maintenance
Law Firms (excluding Professional)
Lessors Risk — Building Owners
Manufacturers
Offices
Restaurants
Retail / Stores / Chains
Religious Institutions
Shopping Centers
Technology

Auto (Monoline or as Fleet)
Bonds
Builders Risk
Earthquake / DIC
Equipment Breakdown (Monoline or Package)
Excess GL / Auto / Property / Flood
Flood
General Liability (Monoline or Package)
Inland Marine (Monoline or Package)

Liquor Liability (Monoline or Package)
Products Liability
Professional Liability including Management Liability / Cyber / D&O / E&O / Fiduciary / Crime
Property (Monoline or Package)
Railroad Protective Liability
Umbrella (Monoline or Package)
Workers Compensation (Monoline or Package)

Halcyon Underwriters Business Development Manager can provide you with more details on the Commercial Lines Department. Please e-mail our marketing department at [email protected].

The Halcyon Success Lists is a small sampling of our monthly new business production in each department. Please contact us if you have any questions at [email protected]

Middle Markets

2026
Year to Date

2025
Year to Date

2024
Year to Date

2023
Year to Date

2022
Year to Date

2021
Year to Date

2020
Year to Date

2019
Year to Date

2018
Year to Date

Small Business

2024
Year to Date

2023
Year to Date

2022
Year to Date

2021
Year to Date

2020
Year to Date

Personal Lines

2024
Year to Date

Halcyon Workshop: How to Quote Cyber?

Halcyon Underwriters
P.O. Box 931817
Atlanta, GA 31193-1817

Overnight Payment Address

Lockbox Services (931817)
Hull & Company LLC (Halcyon)
Lockbox # 931817
3585 Atlanta Avenue
Hapeville GA 30354-1705

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