Get Appointed

Thank you for your interest in doing business with Evergreen Insurance Managers Inc!

To be considered for an agency appointment, please submit the following items to accounting@evergreenins.com.

  • Application for Agency Appointment
  • Form W-9
  • Copy of current agency license(s)
  • Copy of current E&O declaration

For additional information on the appointment process, please contact Parisa Bahmanyar for assistance.