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New Agent Applications
 
Attached Form
Liable Bail Agency/Producer Application - This is the application needed for an FCS contract. All information requested is required; please complete each statement.
Non-Liable Agent Appointment Application - This application is for the agency employees requiring a DOI appointment. Please make sure all statements are completed.
Additional Contract Forms
 
Attached Form
Application Authorization - This is a verification of your consent and understanding that FCS complies with Federal Regulations and will protect the information gathered on your application.
BUF Account Set-up Requirements - This form is needed to verify where your BUF account information will be mailed.
Business Financial Statement - This statement provides an overview of your agency (corporation) financial stability. Please answer all questions using N/A if an entry does not apply to your business.
California Agents - This list of forms MUST be signed and submitted to FCS prior to agent appointment.
Employee Listing - This is a list of employees working in your office. This is needed to verify names that may have authority to transact business with the insurance company.
Judgement Affidavit - (Texas requirement) a notarized signature to confirm you do not have any outstanding bond forfeitures and/or judgements.
W-9 Form 2005 - This is the current form required by the government and banking system.


 
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