Get Appointed

To apply for an appointment, please complete/furnish the items referenced below. They can be emailed to kmerrill@riscins.com. 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 jarebalo@riscins.com.

Please email the following information to kmerrill@riscins.com

• Agency/Producer Profile
• Broker Agreement
• Completed/signed W-9 form
• Confirmation of errors and omission coverage (declarations page or certificate of insurance)
• Copy of Broker’s (BR) License (state of New York)
• Copies of non-resident licenses (where applicable)