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Get Appointed

Complete Our Agent & Broker Appointment Process Online

Your clients deserve the best coverage at the most competitive prices. At VGM Insurance, you get all of that and more, because we know there’s more to insurance than finding the best rate. From the flexibility we offer, to our dedication to only working with the highest-rated carriers, you can trust us with what matters most to your insureds. Complete the form below to begin our agent and broker appointment process, and our team will be in touch with you for any additional information, and to finalize the agreement. If you have questions in the meantime, please reach out to us at services@vgminsurance.com or 800-362-3363.

Agency Profile

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Physical Address
Mailing Address
Branch Office – Complete for additional locations if applicable
Physical Address
Mailing Address
Branch Office #2
Physical Address
Mailing Address
Branch Office #3
Physical Address
Mailing Address
Branch Office #4
Physical Address
Mailing Address
Branch Office #5
Physical Address
Mailing Address
Branch Office #6
Physical Address
Mailing Address
Billing/Accounting Information
Mailing Address
Agency Ownership
Key Personnel
Key Personnel #2
Key Personnel #3
Key Personnel #4
Key Personnel #5
Signer Information

Additional Required Documentation
* By clicking this button, I hereby authorize VGM Insurance to call me on the residential or wireless telephone number I provided and participate in email communication as necessary, regarding the intent of this form submission. I also understand that my email might be used for future product promotions and that I can opt out of future communications from VGM Insurance at any time. Check out our privacy policy for more information about how we protect and manage your data.