Contracting Request

High Commissions /

Contracting with us

One simple "Universal" form for all of our carriers!

Returning Users: Login and follow the Link to Surance Bay/SureLC in the Agent Portal "Request Contracting".

First time Users: Complete the form below to submit your contracting.


Online Contracting Request

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Additional Information

At Legacy, we firmly believe that the diverse contributions of all our agents fuel our success. To ensure our services and culture continue to embrace various perspectives and experiences, we maintain a commitment to non-discrimination based on race, religion, national origin, gender identity or expression, sexual orientation, age, marital status, veteran status, or disability status.

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