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2360 Boy Scout Road
Clearwater, FL 33763
800-965-5234

Contract Forms

Independent insurance agents typically represent a number of insurance companies or "carriers", selling products that most appropriately meet the needs of their clients. As your Broker’s general agency, we will work with on your cases to ensure your clients insurance needs are met with the best policy options available. Once a decision is made on insurance carrier and product, we will assist you with your carrier appointment and make you aware of any product specific courses that the carrier may require in order to license with them. For your convenience, we have provided our core carriers appointment (licensing) paperwork and course requirements in our Contracting Forms for easy downloading.

Independent agents must also be licensed (resident and non-resident) in the states in which they sell insurance products. Prior to taking an out-of state application make sure you are properly licensed in that state.

Check your state license status or apply for a license on the following websites: www.sircon.com or www.nipr.com

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If you have any questions or need assistance with your appointment, please contact Heather | 727-216-2013 ext. 430This email address is being protected from spambots. You need JavaScript enabled to view it.



Heather Dubay

Licensing & Contracting


727-216-2013 ext. 430
Fax 727-369-8728

hdubay@lbfg.net