Forms and Information for Prospective Agents
PROSPECTIVE AGENTS
Requirements
- Completed Agent Profile
- Completed W-9
- Current General Lines License
- Current Errors and Omissions coverage
- NO MINIMUM premium Volume commitment required
Forms
WGA Agency Profile Click to download pdf
Producer Agreement Click to download pdf
W9 Form — Request for Taxpayer ID Click to download pdf
To become a contracted agent with WGA, complete the Agent Profile, Producer Agreement, and W9 forms and submit the forms along with a copy of your E&O insurance and agent license by email to daschwent@wgamo.com or by fax to 636.391.2115.
A signed contract by both parties will be required upon appointment. For additional information about products and services please contact:
Contact Representative
Debbie Schwent
Phone: 636.391.4841 ext. 101
Fax: 636-391-2115
Email: daschwent@wgamo.com