New Agent Applications
This is the application needed for an FCS contract. All information requested is required; please complete each statement.
This application is for the agency employees requiring a DOI appointment. Please make sure all statements are completed.
Additional Contract Forms
This is a verification of your consent and understanding that FCS complies with Federal Regulations and will protect the information gathered on your application.
This form is needed to verify where your BUF account information will be mailed.
This statement provides an overview of your agency (corporation) financial stability. Please answer all questions using N/A if an entry does not apply to your
This list of forms MUST be signed and submitted to FCS prior to agent appointment.
This is a list of employees working in your office. This is needed to verify names that may have authority to transact business with the insurance company.
(Texas requirement) a notarized signature to confirm you do not have any outstanding bond forfeitures and/or judgements.
This is the current form required by the government and banking system.