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Company Appointment Requests

Are you a diverse newly formed independent agency seeking a company appointment? Or are you a well-established diverse independent agency and are hoping to grow your business. Do you need assistance getting your foot in the door and know that your agency’s business plan will do the rest? Then the Big “I” Diversity Task Force carrier members would like to hear from you.
Complete and return the “Agent/Agency Appointment Request Form” below. Completion of this form does not guarantee an appointment with the below mentioned companies. This form will be directed to the Diversity Task Force Carrier Representative(s).  If your agency meets the necessary qualifications you may be contacted by the carrier directly.
The Diversity Task Force consist of leading insurance company executives from Chubb, Encompass, Erie, Hartford,  Liberty Mutual Insurance, Nationwide, MetLife Auto & Home, Safeco, Selective and Travelers.
Return via email to or fax to Whitnee Dillard at (703) 683-7556.

​127 South Peyton Street
Alexandria VA 22314
​phone: 800.221.7917
fax: 703.683.7556

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