Insurance Agency Registration Form

Agent registration is available to authorized individuals employed by a Builders Insurance Group appointed independent agency.   Once you are a registered user, you will be able to access our secure online tools such as Support Center and eQuotes.

Due to the volume of requests received at this time please allow a minimum of one week for your setup to be completed and a confirmation email message to be sent.

If you are already a registered agency user and simply need to make a change to your profile, please contact your internal agency administrator.  If you are unable to identify this person within your agency, please email us at AgencyChanges@bldrs.com.  Please include your agency name in your request.

Contact Person (required)
Title
Employee Type
Line of Business
Agency/Company (required)
Email (required)
Address (required)
Address 2 (required)
City (required)
State (required)
Zip (required)
Phone (required)



Add New Users

Please check the types of correspondence each individual should receive.*


User Name 1
Email
Types of Correspondence
MarketingUnderwritingAccountingClaims


User Name 2
Email
Types of Correspondence
MarketingUnderwritingAccountingClaims


User Name 3
Email
Types of Correspondence
MarketingUnderwritingAccountingClaims


User Name 4
Email
Types of Correspondence
MarketingUnderwritingAccountingClaims

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