Revised Agent Appointment Application
Required July 1, 2021
The Agent Appointment Application has been revised. The new version ET-3200(05-21) is available now on the Agent Gateway Website and may be used immediately. It will be required for agent contracting paperwork received on or after July 1, 2021.
Agents writing business for the first time in over 24 months need to submit the 5-21 application and the Vector Debit Balance Authorization.
To view and print the most current contracting and hierarchy change forms, click here. Or, on the website’s upper navigation bar, select Forms & Supplies > Forms > Search by Form Category: Licensing & Contracting.
Helpful Contracting Resources
Contracting Checklist – ET-3202 (11-20)
NAIC Producer Licensing Model Act; Override Commissions – ET-3400 (10-20)
Business Solicitation Requirements – ET-3104 (02-20)
Just-In-Time Agent Contracting FAQ – ET-JITFAQ