If you would like to get a quote, please complete and submit the following forms to If you do not have an agent, please email or and they will appoint one to you.

*Please allow 30-45 days for our review and quoting process.

If you would like to take over an account by way of Agent of Record Letter, please see below guidelines.


USA Telecom Insurance Services does not have any premium or number of account commitments from our appointed agencies. If you would like your agency to be appointed with USA Telecom, the following items are required:

  1. Completed, signed producer agreement
  2. Completed agent profile form
  3. Copy of your current agency license
  4. W9
  5. Current E&O Certificate or policy declaration page

Send all items to

You will be notified when your paperwork is processed and you are set up as an appointed agency in our system. Your agency will be provided access to our Agent Portal where we deliver all policy documents on your accounts to you. If your agency has multiple locations, all offices are appointed if they all use the same billing information. If offices have separate billing information, each one must be appointed separately.