Become an NBIS Appointed Producer

Helpful files and forms below for your use. To become appointed with NBIS, follow the steps and email forms as described below.

 CONTACT INFORMATION

BECOME AN NBIS PRODUCER

Please submit the following documents to newproducers@nbis.com to become an NBIS producer:

  1. Evidence of current E&O coverage
  2. Resident licenses for the agency and the individual producer completing section five of the Acord 821 - Producer Information Form.
  3. Producer Agreement
  4. Producer Information Form - Acord
  5. Acord 876 - Background Check Authorization
  6. W-9

 Our Services - Overview Brochure

 SUPPLEMENTAL APPLICATION FORMS - fillable forms

 ACORD FORMS - fillable forms