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HOW TO BECOME A PRODUCER
Would you like to become an American Southwest Insurance Managers Producer?

If you are interested in becoming a producer for American Southwest Insurance Managers, and are a licensed independent agent, the following procedures can be used.

  • Contact Consuelo Lopez at 972-238-4070
  • We will arrange for a marketing representative to visit your office
  • Fill out the following forms (downloadable in the PDF format)
FLORIDA AGENTS
    Agency Questionnaire
    Producer Agreement
    W-9 Tax Form
    Producer Addendum
   AGENT Electronic Withdrawal Authorization Form
TEXAS AGENTS
    Agency Questionnaire
    Producer Agreement
    W-9 Tax Form
    Producer Addendum
    Homeowner Addendum
   AGENT Electronic Withdrawal Authorization Form

  • Fax the completed forms to the attention of Consuelo Lopez at 972-238-4099
  • After review and approval, you will be assigned a producer number, and contacted about needed supplies and/or training.

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