Become a Producer

Thank you for your interest in working with AmWINS Program Underwriters. In order to initiate the appointment process, we ask that you complete our Broker Agreement, provide us with a W-9 tax form, and provide us copies of your E&O Dec Page, Agency Resident License, and Agent Resident License.

All of the information to start the process has been assembled into this PDF document. Once you open the document, you simply need to complete, sign, and fax back the requested information. Please note that the PDF forms can be completed online and then printed. These are fillable forms.

For your convenience, we have included a pre-filled fax coversheet. Please attach the required information and fax back to us using the attached coversheet.

Should you have any questions, please don’t hesitate to call our licensing and compliance manager, Pat Young at (717) 214-7588 or you can email her at pat.young@amwins.com.