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Thank you for your interest in an agency appointment with Halcyon Underwriters. We will require the following items be completed and returned to Troy McClelland. Information may be faxed or e-mailed, however, original copies must be mailed to us for our files.
  1. Agency Application (see attached)
  2. Agency Agreement (see attached)
  3. Copy of Agent’s License
  4. Copy of Agency’s E&O – dec page or certificate
  5. Copy of Agency’s W-9 Form (see attached)
  6. Copy of Agency License

The appointment information will be reviewed and a decision made at our earliest convenience. We appreciate your interest and look forward to possibly working together in the near future.




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2600 Lake Lucien Drive :: Suite 304
Maitland. FL :: 32751-7234
TEL - (407) 660-1881 :: FAX - (407) 660-0525
TOLL FREE - (800) 393-9090

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