Thank you for your interest in working with Northwest Insurance. We would like to become your primary source for Worker’s Compensation insurance, and have provided you with some information to help you get started placing business with us immediately. Through Northwest, you will have access to the new and improved Everest National program as well as several additional preferred Worker’s Compensation markets. Our commitment is to provide you with the best product and the best service in the industry.
To be considered for a Broker Appointment please forward the following information to our office.
Complete and sign both copies of the Northwest Broker Contract. Initial Section VII-G.
Photocopy of your current broker’s license.
Photocopy of current E & O Policy Declarations and Endorsements.
Provide Federal Tax ID Number or Social Security Number and complete a W-9 form.
Complete the provided Agent Profile.
We look forward to doing business with you. If you have any questions, please do not hesitate to call.
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