To apply for an appointment, please complete/furnish the items referenced below. They can be emailed to Once all of the required documents have been received, your agency’s application will be reviewed and you will be notified via e-mail if you are appointed and active.


We appreciate your interest and look forward to working together in the near future. Should you have any questions about our appointment process, please contact Joseph Arebalo at (631) 369-3800 ext. 6265 or


Please email the following information to